博茨瓦纳基于社区的 HIV 检测活动达到饱和所需成本。
Cost of Community-Based HIV Testing Activities to Reach Saturation in Botswana.
机构信息
Division of Global HIV & TB, Center for Global Health, Centers for Disease Control and Prevention, 1600 Clifton Road, Mailstop E-04, Atlanta, GA, 30329-4018, USA.
出版信息
AIDS Behav. 2019 Apr;23(4):875-882. doi: 10.1007/s10461-019-02408-9.
Abstract
In Botswana, 85% of persons living with HIV are aware of their status. We performed an economic analysis of HIV testing activities implemented during intensive campaigns, in 11 communities, between April 2015 and March 2016, through the Botswana Combination Prevention Project. The total cost was $1,098,312, or $99,847 per community, with 60% attributable to home-based testing and 40% attributable to mobile testing. The cost per person tested was $44, and $671 per person testing positive (2017 USD). Labor costs comprised 64% of total costs. In areas of high HIV prevalence and treatment coverage, the cost of untargeted home-based testing may be inflated by the efforts required to assess the testing eligibility of clients who are HIV-positive and on ART. Home-based and mobile testing delivered though an intensive community-based campaign allowed the identification of HIV positive persons, who may not access health facilities, at a cost comparable to other studies.
摘要
在博茨瓦纳，85%的艾滋病毒感染者知晓其自身的艾滋病毒感染状况。我们通过博茨瓦纳组合预防项目，对 2015 年 4 月至 2016 年 3 月期间在 11 个社区开展的强化运动期间实施的艾滋病毒检测活动进行了经济分析。总费用为 1098312 美元，每个社区为 99847 美元，其中 60%归因于家庭检测，40%归因于流动检测。每人检测费用为 44 美元，每例阳性检测者（2017 年美元）费用为 671 美元。劳动力成本占总费用的 64%。在艾滋病毒流行率和治疗覆盖率较高的地区，针对艾滋病毒阳性和接受抗逆转录病毒治疗者进行检测资格评估所需的工作可能会使无目标的家庭检测费用膨胀。通过强化社区为基础的运动开展的家庭检测和流动检测，可以以可与其他研究相媲美的费用，发现可能无法获得卫生机构服务的艾滋病毒阳性者。
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