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

Table 3 Annual HIV testing services costs; cost per testing episode (cost per test); and cost per HIV case diagnosed (cost per HIV) in 2017 US$ (October 2016 to September 2017)

	Clinic A			Clinic B			Clinic C			Hospital D			Hospital E
	Total cost	Cost per test	Cost per HIV	Total cost	Cost per test	Cost per HIV	Total cost	Cost per test	Cost per HIV	Total cost	Cost per test	Cost per HIV	Total cost	Cost per test	Cost per HIV
CAPITAL COSTS
Building	115	0.22	6.04	14	0.00	0.19	22	0.01	0.60	26	0.01	0.30	215	0.02	0.90
Equipment	15	0.03	0.80	78	0.02	1.05	13	0.01	0.36	65	0.02	0.77	33	0.00	0.14
Training	393	0.76	20.69	1179	0.38	15.94	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00
Total capital	523	1.01	27.53	1272	0.40	17.19	35	0.02	0.96	90	0.03	1.08	249	0.03	1.04
RECURRENT COSTS
Personnel	2109	4.06	111.02	5116	1.63	69.13	4615	2.41	128.21	7154	2.11	85.17	7537	0.79	31.40
HIV test kits	458	0.88	24.08	2800	0.89	37.84	1821	0.95	50.59	2954	0.87	35.17	8531	0.89	35.55
Other supplies	179	0.34	9.43	525	0.17	7.09	152	0.08	4.22	635	0.19	7.56	842	0.09	3.51
Utilities & other	433	0.83	22.82	81	0.03	1.09	35	0.02	0.98	155	0.05	1.84	678	0.07	2.82
Total recurrent	3180	6.11	167.35	8521	2.71	115.15	6624	3.46	183.99	10,898	3.22	129.74	17,587	1.84	73.28
DISTRICT/NATIONALCOSTS
Supervision	410	0.79	21.55	410	0.13	5.53	410	0.21	11.38	410	0.12	4.88	410	0.04	1.71
M&E	336	0.65	17.69	336	0.11	4.54	336	0.18	9.33	336	0.10	4.00	336	0.04	1.40
Total District/National	746	1.43	39.24	746	0.24	10.07	746	0.39	20.71	746	0.22	8.88	746	0.08	3.11
TOTAL/ AVERAGE	4448	8.55	234.11	10,538	3.35	142.41	7404	3.86	205.66	11,734	3.47	139.69	18,582	1.95	77.42

ISSN: 1472-6963