Efficiency of HIV services in Nigeria: Determinants of unit cost variation of HIV counseling and testing and prevention of mother-to-child transmission interventions.

ABSTRACT:

Background

Like most countries with a substantial HIV burden, Nigeria continues to face challenges in reaching coverage targets of HIV services. A fundamental problem is stagnated funding in recent years. Improving efficiency is therefore paramount to effectively scale-up HIV services. In this study, we estimated the facility-level average costs (or unit costs) of HIV Counseling and Testing (HCT) and Prevention of Mother-to-Child Transmission (PMTCT) services and characterized determinants of unit cost variation. We investigated the role of service delivery modalities and the link between facility-level management practices and unit cost variability along both services' cascades.

Methods

We conducted a cross-sectional, observational, micro-costing study in Nigeria between De

SUBMITTER: Bautista-Arredondo S 

PROVIDER: S-EPMC6128456 | biostudies-literature | 2018

REPOSITORIES: biostudies-literature