Community-based delivery of HIV treatment in Zambia: costs and outcomes.

ABSTRACT:

Objective

The aim is to determine the total annual cost per patient treated and total cost per patient retained on antiretroviral therapy in Zambia in conventional care in facilities and across community-based differentiated service delivery (DSD) models.

Design

Economic evaluation was conducted using retrospective electronic record review.Twenty healthcare facilities (13 with DSD models and 7 as comparison sites) in six of Zambia's 10 provinces were considered.

Methods

All individuals on antiretroviral therapy (ART) >18 years old at the study sites were enrolled in a DSD model or conventional care by site type, respectively, with at least 12 months of follow-up data. Accessing care through DSD models [community adherence groups (CAGs), urban adherence groups (UAGs),

SUBMITTER: Nichols BE 

PROVIDER: S-EPMC7810408 | biostudies-literature | 2021 Feb

REPOSITORIES: biostudies-literature