McConnel Coline E, Stanley Nicci, du Plessis Jo-Ann, Pitter Christian S, Abdulla Fathima, Coovadia Hoosen M, Marseille Elliot, Kahn James G
Institute for Health Policy Studies and AIDS Research Institute, University of California, San Francisco, USA.
S Afr Med J. 2005 Dec;95(12):968-71.
Demand for HIV voluntary counselling and testing (VCT) will increase as HIV prevention and treatment scale up in South Africa. Understanding the cost of delivering VCT will inform funding decisions.
To determine the cost per client completing VCT (pretest counselling, testing and post-test counselling) in a non-research- based programme using rapid-test technology.
One year of expenditure and output data were collected retrospectively as part of the PANCEA (Prevent AIDS: Network for Cost-Effectiveness Analysis) study. Market prices were determined for donated resources.
An urban, church-based, non-profit organisation that offers rapid-test VCT services in KwaZulu-Natal, South Africa.
Financial expenditure for the 2002/2003 fiscal year was 39,761 dollars (calculated using an average conversion rate for July 2003, which was 0.133). Using market prices for donated resources, the economic cost for the year was estimated at 67,248 dollars. Six hundred and sixty-two clients completed VCT, resulting in financial expenditure of 60.06 dollars per client and an economic cost of 101.58 dollars per client. Financial expenditures and economic costs per client decreased over the year by 66% because expenses remained stable as more clients were served.
The cost of providing VCT services was higher than previously reported, but declined with expanding scale.
随着南非艾滋病预防和治疗工作的扩大，对艾滋病病毒自愿咨询和检测（VCT）的需求将会增加。了解提供VCT的成本将为资金决策提供依据。
确定在一个使用快速检测技术的非研究性项目中，每位完成VCT（检测前咨询、检测及检测后咨询）的客户的成本。
作为PANCEA（预防艾滋病：成本效益分析网络）研究的一部分，回顾性收集了一年的支出和产出数据。确定了捐赠资源的市场价格。
南非夸祖鲁 - 纳塔尔省一个以教会为基础的城市非营利组织，该组织提供快速检测VCT服务。
2002/2003财政年度的财务支出为39,761美元（使用2003年7月的平均换算率计算，该换算率为0.133）。使用捐赠资源的市场价格，该年度的经济成本估计为67,248美元。662位客户完成了VCT，每位客户的财务支出为60.06美元，经济成本为101.58美元。由于随着服务客户数量增加费用保持稳定，每位客户的财务支出和经济成本在该年度下降了66%。
提供VCT服务的成本高于先前报告的水平，但随着规模扩大而下降。
