Low costs and opportunities for efficiency: a cost analysis of the first year of programmatic PrEP delivery in Kenya’s public sector

Table 1 Total and unit Kenyan Ministry of Health costs of PrEP provision in Kenyan public HIV-1 care clinics (2019 USD)

	Financial costs			Economic costs
	Total annual cost	Cost per PrEP client(n = 2,567)	Cost per person-month of PrEP(n = 8,847)	Total annual cost	Cost per PrEP client(n = 2,567)	Cost per person-month of PrEP(n = 8,847)
Start-up
Stakeholder coordination	1,485	0.58	0.17	1,481	0.58	0.17
Training	8,147	3.17	0.92	15,162	5.91	1.71
Demand creation	981	0.38	0.11	3,096	1.21	0.35
Recurrent^a
Personnel	0	0.00	0.00	80,811	31.48	9.13
Supplies
PrEP medication	62,700	24.43	7.09	62,700	24.43	7.09
HIV-1 tests	1,562	0.61	0.18	1,561	0.61	0.18
Administrative	15,813	6.16	1.79	15,813	6.16	1.79
Capital	487	0.19	0.06	487	0.19	0.06
Overhead	0	0.00	0.00	7,470	2.91	0.84
Total	$91,175	$35.52	$10.31	$188,584	$73.46	$21.32

^aRecurrent costs include costs incurred across all visits types (initiation, follow-up, and PrEP refill)

ISSN: 1472-6963