Optimising the cost and delivery of HIV counselling and testing services in Kenya and Swaziland.

ABSTRACT:

Background

Approaches to HIV counselling and testing (HCT) within low-resource high HIV prevalence settings have shifted over the years from primarily client-initiated approaches to provider initiated. As part of an ongoing programme science research agenda, we examine the relative costs of provider-initiated testing and counselling (PITC) services compared with voluntary counselling and testing (VCT) services in the same health facilities in two low-resource settings: Kenya and Swaziland.

Methods

Annual financial and economic costs and output measures were collected retrospectively from 28 health facilities. Total annual costs and average costs per client counselled and tested (C&T), and HIV-positive clients identified, were estimated.

Results

VCT remains the predomi

SUBMITTER: Obure CD 

PROVIDER: S-EPMC3595498 | biostudies-literature | 2012 Nov

REPOSITORIES: biostudies-literature