Task-shifting alcohol interventions for HIV+ persons in Kenya: a cost-benefit analysis

Table 3 Detailed scale-up costs per site

Details	Unit of Issue	No of units	Unit cost	Total KES per line item	Total KES per category	Total USD per line item	Total USD per category
Personnel
Diploma Nurse	25% FTE	0.25	444,240	KES 111,060		$1,314
Counselor	100% FTE	2	201,840	KES 403,680		$4,776
Personnel total					KES 514,740		$6,089
Supplies
Sharp pointed pen	pkt	2	500	KES 1,000		$12
Whiteboard markers	pkt	2	1200	KES 2,400		$28
Airtime for assessment coordinator^a	75/week per office	1	20000	KES 20,000		$237
Airtime for physician consultation	4 calls × 40 weeks	160	50	KES 8,000		$95
Box files	pieces	5	155	KES 775		$9
Suspension files	box	2	3500	KES 7,000		$83
Photocopy	copy	2000	3	KES 6,000		$71
Benzodiazepines (10% of pts per year)	patient	16	24	KES 384		$5
Multivitamins	patient	16	16	KES 256		$3
Supplies total					KES 45,815		$542
Provided by hospital facility:
2 rooms
Psychotropic medicines and benzodiazepines
Participant Payments
Participant payments (Participants × 6 visits)	Visits	960	200	KES 192,000		$2,271
Participant payment total					KES 192,000		$2,271
TOTAL EXPENSES PER SITE PER YEAR					KES 752,555		$8,903

Notes: These projections are based on 1 year, 2 counselors, 1 location. This model can serve 160 (first year)-240 (years 2–5) participants (3 groups/week per counselor with 8 months of work.)
^a500 KES/week × 40 weeks (assuming counselors will take leave at different times)
Sources for salaries and per-diem rates:
Accommodation and subsistence allowance for officers travelling on duty within and outside Kenya. Memo from the office of the Prime Minister, Government of Kenya, 12 November 2009, Ref. No. MSPS 18/2A/(89)
Re-alignment of the salary structure for civil servants. Memo from the Office of the Prime Minister, Government of Kenya, 25 June 2012, Ref. No. MSPS 2/6/4A Vol. X/(2)
Re-alignment of teachers’ salary with those of civil servants. Memo from the Teacher Service Commission, 1 October 2012, Circular No 21/2012, Ref. TSC/ADM/192A/35
Rates of allowances payable to government sponsored trainees. Memo from the Office of the President, Government of Kenya, 1 November 2004, Ref. No. OP/CAB.2/12A

ISSN: 1472-6963