Assessing the costs and efficiency of HIV testing and treatment services in rural Malawi: implications for future “test and start” strategies

Table 6 Annual HIV care and treatment costs; and cost per patient-year on ART in 2017 US$ (October 2016 to September 2017)

	Clinic A		Clinic B		Clinic C		Hospital D		Hospital E
	Total cost	Cost per ART patient	Total cost	Cost per ART patient	Total cost	Cost per ART patient	Total cost	Cost per ART patient	Total cost	Cost ART per patient
CAPITAL COSTS
Building	555	2.97	16	0.03	23	0.10	5	0.03	239	0.23
Equipment	17	0.09	129	0.27	52	0.22	13	0.07	53	0.05
Training	786	4.20	2621	5.49	524	2.25	2621	13.65	1048	1.03
Total Capital	1358	7.26	2621	5.49	599	2.57	2639	13.74	1341	1.31
RECURRENT COSTS
Personnel	850	4.55	6668	13.98	1785	7.66	4046	21.07	9411	9.22
ART	12,610	67.43	32,270	67.65	15,482	66.45	12,266	63.89	76,619	75.04
Cotrimoxazole	1098	5.87	2710	5.68	1324	5.68	1061	5.53	6241	6.11
Viral load	98	0.52	1862	3.90	1120	4.81	1344	7.00	5068	4.96
Other supplies	24	0.13	64	0.13	31.34	0.13	27	0.14	142	0.14
Utilities & other	2220	11.87	86	0.18	38.58	0.17	32	0.17	752	0.74
Total Recurrent	16,899	90.37	43,661	91.53	19,781	84.90	18,776	97.79	98,233	96.21
DISTRICT/NATIONAL COSTS
Supervision	410	2.19	410	0.86	410	1.76	410	2.13	410	0.40
M&E	336	1.80	336	0.70	336	1.44	336	1.75	336	0.33
Total District/National	746	3.99	746	1.56	746	3.20	746	3.88	746	0.73
TOTAL / AVERAGE	19,003	101.62	47,027	98.59	21,126	90.67	22,160	115.42	100,319	98.26

ISSN: 1472-6963