A Cost-Effectiveness Analysis of a Home- Based HIV Counselling and Testing Intervention versus the Standard (Facility Based) HIV Testing Strategy in Rural South Africa
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Date
2015
Journal Title
Journal ISSN
Volume Title
Publisher
PLOS ONE
Abstract
Introduction
There is growing evidence concerning the acceptability and feasibility of home-based HIV
testing. However, less is known about the cost-effectiveness of the approach yet it is a critical
component to guide decisions about scaling up access to HIV testing. This study examined
the cost-effectiveness of a home-based HIV testing intervention in rural South Africa.
Methods
Two alternatives: clinic and home-based HIV counselling and testing were compared.
Costs were analysed from a provider’s perspective for the period of January to December
2010. The outcome, HIV counselling and testing (HCT) uptake was obtained from the Good
Start home-based HIV counselling and testing (HBHCT) cluster randomised control trial
undertaken in KwaZulu-Natal province. Cost-effectiveness was estimated for a target population
of 22,099 versus 23,864 people for intervention and control communities respectively.
Average costs were calculated as the cost per client tested, while cost-effectiveness was
calculated as the cost per additional client tested through HBHCT.
Description
Keywords
HIV/AIDS, Testing, Counselling
Citation
Tabana H, Nkonki L, Hongoro C, Doherty T, Ekström AM, Naik R, et al. (2015) A Cost- Effectiveness Analysis of a Home-Based HIV Counselling and Testing Intervention versus the Standard (Facility Based) HIV Testing Strategy in Rural South Africa. PLoS ONE 10(8): e0135048. doi:10.1371/journal.pone.0135048