Cost of Community-Based HIV Testing Activities to Reach Saturation in Botswana.

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,...

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Publicado en:AIDS & Behavior Vol. 23; no. 4; pp. 875 - 883
Autores principales: Lasry, Arielle, Bachanas, Pamela, Suraratdecha, Chutima, Alwano, Mary Grace, Behel, Stephanie, Pals, Sherri, Block, Lisa, Moore, Janet
Formato: research tables/charts Journal Article
Publicado: Springer Nature Apr2019
Acceso en línea:Ver este registro en EBSCOhost
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      pub: Springer Nature
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        10.1007/s10461-019-02408-9
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        atl: Cost of Community-Based HIV Testing Activities to Reach Saturation in Botswana.
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          Lasry, Arielle
          Bachanas, Pamela
          Suraratdecha, Chutima
          Alwano, Mary Grace
          Behel, Stephanie
          Pals, Sherri
          Block, Lisa
          Moore, Janet
        affil: Division of Global HIV & TB, Center for Global Health, Centers for Disease Control and Prevention, 1600 Clifton Road, Mailstop E-04, 30329-4018, Atlanta, GA, USA
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        subj:
          Community Health Services
          HIV Infections Diagnosis
          Health Screening Economics
          Costs and Cost Analysis
          Human
          Botswana
          Health Care Costs Statistics and Numerical Data
      ab: 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.
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    language: English
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