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Table 5 Average cost per patient by outcome and cost category

From: Cost and outcomes of routine HIV care and treatment: public and private service delivery models covering low-income earners in South Africa

 

Pub1

 

Pub2

 

Prv1 (NGO)

 

Prv2 (GP)

 

Prv3 (Nurse)*

 
 

n=76

 

n=75

 

n=75

 

n=75

 

n=75

 

Outcome, mean (SD)

          

All patients

297

(115)

195

(86)

358

(200)

247

(85.29)

97

(71)

In care for HIV, all

335

 

238

 

489

 

287

 

206

 

 In care & VL suppressed

342

(78)

244

(53)

487

(112)

293

(29.52)

0

(0)

 In care & VL unsuppressed

295

(116)

257

(8)

486

(51)

270

(40.93)

0

(0)

 In care & VL unknown

319

(102)

230

(36)

497

(126)

261

(23.23)

206

(96)

Not in care for HIV, all

142

(96)

76

(51)

138

(95)

110

(65.18)

88

(60)

Cost category for in care, mean (%)

          

Drugs - ARV

90

(27%)

94

(39%)

101

(21%)

87

(30%)

144

(70%)

Drugs - non ARV

16

(5%)

5

(2%)

19

(4%)

17

(6%)

4

(2%)

Laboratory tests

59

(18%)

39

(16%)

65

(13%)

48

(17%)

0

(%)

Non variable costs

170

(51%)

100

(42%)

305

(62%)

136

(47%)

58

(28%)

 Staff - Clinical

113

(34%)

62

(26%)

117

(24%)

0

(0%)

0

(0%)

 Staff - Non clinical

17

(5%)

23

(10%)

108

(22%)

0

(0%)

0

(0%)

 Fixed costs

40

(12%)

15

(6%)

79

(16%)

0

(0%)

0

(0%)

 Fixed fee**

0

(0%)

0

(0%)

0

(0%)

136

(47%)

58

(28%)

Total

335

(100%)

238

(100%)

489

(100%)

287

(100%)

206

(100%)

Summary costs for in care

          

Total cost per month in care, mean (SD)

31

(7)

20

(4)

47

(13)

29

(14)

44

(21)

Non variable cost per visit

20

 

10

 

32

 

17

 

13

 
  1. *Medicines and labs procured at private sector prices
  2. **Fixed fee includes fixed costs and staff costs for these models; paid by donors in Prv2 and by patients in Prv3