Similar costs and outcomes for differentiated service delivery models for HIV treatment in Uganda

Table 4 Annual average cost per client by cost component, by model and period (US$ 2018)

Mean cost per enrolled client per annum (US$)	FBIM		CCLAD		CDDP		FBG		FDR		Overall
	*0-12 m*	*13-24 m*	*0-12 m*	*13-24 m*	*0-12 m*	*13-24 m*	*FBG1*	*FBG2*	*0-12 m*	*13-24 m*	*0-12 m*	*13-24 m*
	*(n = 128)*	*(n = 126)*	*(n = 131)*	*(n = 130)*	*(n = 132)*	*(n = 132)*	*(n = 129)*	*(n = 115)*	*(n = 133)*	*(n = 132)*	*(n = 653)*	*(n = 635)*
ARVs (including SCM^a costs)	108.31	115.33	104.48	103.20	116.89	112.76	104.75	96.88	136.83	133.96	114.38	112.84
Non-ARV meds (including SCM costs)	20.17	9.99	16.71	20.10	22.17	10.12	22.07	13.13	23.44	11.10	20.92	12.89
Laboratory tests	14.10	13.04	14.99	11.21	14.96	11.40	14.75	14.85	13.84	11.75	14.52	12.38
Facility visits (HR costs^b)	6.27	5.00	4.09	2.55	2.02	1.47	11.26	6.90	6.22	4.77	5.95	4.06
DSDM events (HR costs)	^c	^c	0.29	0.17	0.31	0.17	0.16	0.06	^c	^c	0.15	0.08
Site-level costs: transport, overheads	4.50	4.50	7.40	7.40	7.86	7.86	4.51	4.22	2.10	2.10	5.27	5.24
Above-site costs: supervision, training, materials, management	4.58	4.62	5.44	5.44	2.65	2.65	5.28	5.24	2.77	2.79	4.13	4.11
DSDM cost ($) per enrolled	157.93	152.49	153.39	150.07	166.85	146.42	162.77	141.29	185.20	166.48	165.33	151.61
client per year (mean, SD)	(62.51)	(72.04)	(57.78)	(54.94)	(82.34)	(59.52)	(79.53)	(33.7)	(104.47)	(82.51)	(79.76)	(63.65)
Service delivery costs (excl. ARVs, labs & non-ARV meds)	15.35	14.12	17.22	15.56	12.84	12.14	21.20	16.43	11.09	9.66	15.51	13.50

Note these costs relate to the entire cohort, that is, those clients in care at the beginning of each annual study period
^a SCM = supply chain management
^b Facility visits included human resource costs for ARV refills, fast-track refills, clinical assessments, TB assessments, counselling, drawing blood for lab tests, and unscheduled visits
^c FBIM and FDR did not have any community-based DSDM events

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