Reaching Absent and Refusing Individuals During Home-Based HIV Testing Through Self-Testing-at What Cost?

ABSTRACT: Introduction: In the HOSENG trial (NCT03598686), the secondary distribution of oral self-tests for persons absent or refusing to test during a home-based HIV testing campaign in rural Lesotho resulted in an increase in testing coverage of 21% compared to a testing campaign without secondary distribution. This study aims to determine the per patient costs of both HOSENG trial arms. Method: We conducted a micro-costing study to estimate the cost of home-based HIV testing with (HOSENG intervention arm) and without (HOSENG control arm) secondary self-test distribution from a provider's perspective. A mixture of top-down and bottom-up costing was used. We estimated both the financial and economic per patient costs of each possible testing cascade scenario. The costs were adjusted

SUBMITTER: Amstutz A 

PROVIDER: S-EPMC8276095 | biostudies-literature | 2021

REPOSITORIES: biostudies-literature