Medicine & Health

Economic Efficiency of HIV Services

Published May 26, 2020 Partnered Collections, Special Issues

In order to maximize the value for money for HIV services and increase efficiency without sacrificing quality, robust and up-to-date data on costs, efficiency and its determinants are needed. This collection presents recent, high-quality evidence from low- and middle-income countries on costs and technical efficiency of HIV services and their determinants. These data contribute to the current discussion on optimizing resources for HIV services and can provide programmatic guidance for decision-makers.

Image Credit: Sanjoy Ghosh

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Evidence on the costs of HIV services
Mathematical modelling for programmatic guidance

Evidence on the costs of HIV services

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Fig 2. Validation of extrapolated VMMC unit cost. by Bautista-Arredondo et al., CC BY 4.0

PLOS ONE Moving away from the “unit cost”. Predicting country-specific average cost curves of VMMC services accounting for variations in service delivery platforms in sub-Saharan Africa
April 22, 2021 Sergio Bautista-Arredondo, Carlos Pineda-Antunez, Diego Cerecero-Garcia, Drew B. Cameron, Lily Alexander, Chris Chiwevu, Steven Forsythe, Michel Tchuenche, William H. Dow, James Kahn, Gabriela B. Gomez, Anna Vassall, Lori A. Bollinger, Carol Levin

Background: One critical element to optimize funding decisions involves the cost and efficiency implications of implementing alternative…
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10.1371/journal.pone.0231527

PLOS ONE Costs and economies of scale in the accelerated program for prevention of mother-to-child transmission of HIV in Zimbabwe
May 20, 2020 I. Ochoa-Moreno, S. I. McCoy, R. Buzdugan, C. Mangenah, N. S. Padian, F. M. Cowan, S. Bautista-Arredondo
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10.1371/journal.pone.0222180

PLOS ONE The relationship between management practices and the efficiency and quality of voluntary medical male circumcision services in four African countries
October 3, 2019 Andrea Salas-Ortiz, Gina La Hera-Fuentes, Nerissa Nance, Sandra G. Sosa-Rubí, Sergio Bautista-Arredondo
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10.1371/journal.pone.0201706

PLOS ONE Efficiency of HIV services in Nigeria: Determinants of unit cost variation of HIV counseling and testing and prevention of mother-to-child transmission interventions
September 7, 2018 Sergio Bautista-Arredondo, Gina La Hera-Fuentes, David Contreras-Loya, Ada Kwan, S. Janae Van Buren, Ogbonna O. Amanze, Akinyemi Atobatele, Adedayo Adeyemi, Emmanuel Abatta, Kayode M. Ogungbemi, Sandra G. Sosa-Rubí
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10.1371/journal.pone.0194305

PLOS ONE Explaining the heterogeneity in average costs per HIV/AIDS patient in Nigeria: The role of supply-side and service delivery characteristics
May 2, 2018 Sergio Bautista-Arredondo, M. Arantxa Colchero, Ogbonna O. Amanze, Gina La Hera-Fuentes, Omar Silverman-Retana, David Contreras-Loya, Gregory A. Ashefor, Kayode M. Ogungbemi
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10.1371/journal.pone.0185740

PLOS ONE Costs of facility-based HIV testing in Malawi, Zambia and Zimbabwe
October 16, 2017 Lawrence Mwenge, Linda Sande, Collin Mangenah, Nurilign Ahmed, Sarah Kanema, Marc d’Elbée, Euphemia Sibanda, Thokozani Kalua, Gertrude Ncube, Cheryl C. Johnson, Karin Hatzold, Frances M. Cowan, Elizabeth L. Corbett, Helen Ayles, Hendramoorthy Maheswaran, Fern Terris-Prestholt
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10.1371/journal.pone.0186496

PLOS ONE Revealed willingness-to-pay versus standard cost-effectiveness thresholds: Evidence from the South African HIV Investment Case
October 26, 2017 Gesine Meyer-Rath, Craig van Rensburg, Bruce Larson, Lise Jamieson, Sydney Rosen

Mathematical modelling for programmatic guidance

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Nicolas Raymond/Flickr

PLOS ONE Influence of supply-side factors on voluntary medical male circumcision costs in Kenya, Rwanda, South Africa, and Zambia
September 13, 2018 Sergio Bautista-Arredondo, Sandra G. Sosa-Rubi, Marjorie Opuni, David Contreras-Loya, Gina La Hera-Fuentes, Ada Kwan, Claire Chaumont, Abson Chompolola, Jeanine Condo, Kumbutso Dzekedzeke, Omar Galarraga, Neil Martinson, Felix Masiye, Sabin Nsanzimana, Richard Wamai, Joseph Wang’ombe, on behalf of the ORPHEA study team
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10.1371/journal.pone.0190283

PLOS ONE Reflecting the real value of health care resources in modelling and cost-effectiveness studies—The example of viral load informed differentiated care
January 2, 2018 Paul Revill, Simon Walker, Valentina Cambiano, Andrew Phillips, Mark J. Sculpher
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10.1371/journal.pone.0192944

PLOS ONE Optimization by Adaptive Stochastic Descent
March 16, 2018 Cliff C. Kerr, Salvador Dura-Bernal, Tomasz G. Smolinski, George L. Chadderdon, David P. Wilson
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NIAID

PLOS ONE Changing the South African national antiretroviral therapy guidelines: The role of cost modelling
October 30, 2017 Gesine Meyer-Rath, Leigh F. Johnson, Yogan Pillay, Mark Blecher, Alana T. Brennan, Lawrence Long, Harry Moultrie, Ian Sanne, Matthew P. Fox, Sydney Rosen
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Alex Gilbert

PLOS ONE Getting it right when budgets are tight: Using optimal expansion pathways to prioritize responses to concentrated and mixed HIV epidemics
October 3, 2017 Robyn M. Stuart, Cliff C. Kerr, Hassan Haghparast-Bidgoli, Janne Estill, Laura Grobicki, Zofia Baranczuk, Lorena Prieto, Vilma Montañez, Iyanoosh Reporter, Richard T. Gray, Jolene Skordis-Worrall, Olivia Keiser, Nejma Cheikh, Krittayawan Boonto, Sutayut Osornprasop, Fernando Lavadenz, Clemens J. Benedikt, Rowan Martin-Hughes, S. Azfar Hussain, Sherrie L. Kelly, David J. Kedziora, David P. Wilson