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

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

  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