A cost-effectiveness analysis of a home-based HIV counselling and testing intervention versus the standard (facility based) HIV testing strategy in rural South Africa

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dc.contributor.authorTabana, Hananien_ZA
dc.contributor.authorNkonki, Lungiswaen_ZA
dc.contributor.authorHongoro, Charlesen_ZA
dc.contributor.authorDoherty, Tanyaen_ZA
dc.contributor.authorEkström, Anna Miaen_ZA
dc.contributor.authorNaik, Reshmaen_ZA
dc.contributor.authorZembe-Mkabile, Wangaen_ZA
dc.contributor.authorJackson, Debraen_ZA
dc.contributor.authorThorson, Annaen_ZA
dc.date.accessioned2016-07-08T10:42:29Z
dc.date.available2016-07-08T10:42:29Z
dc.date.issued2015
dc.descriptionCITATION: Tabana, H., et al. 2015. A cost-effectiveness analysis of a home- based HIV counselling and testing intervention versus the standard (facility based) HIV testing strategy in rural South Africa. PLoS ONE, 10(8): 1-13, doi: 10.1371/journal.pone.0135048.en_ZA
dc.descriptionThe original publication is available at http://journals.plos.org/plosoneen_ZA
dc.description.abstractIntroduction: There is growing evidence concerning the acceptability and feasibility of home-based HIV testing. However, less is known about the cost-effectiveness of the approach yet it is a critical component to guide decisions about scaling up access to HIV testing. This study examined the cost-effectiveness of a home-based HIV testing intervention in rural South Africa. Methods: Two alternatives: clinic and home-based HIV counselling and testing were compared. Costs were analysed from a provider’s perspective for the period of January to December 2010. The outcome, HIV counselling and testing (HCT) uptake was obtained from the Good Start home-based HIV counselling and testing (HBHCT) cluster randomised control trial undertaken in KwaZulu-Natal province. Cost-effectiveness was estimated for a target population of 22,099 versus 23,864 people for intervention and control communities respectively. Average costs were calculated as the cost per client tested, while cost-effectiveness was calculated as the cost per additional client tested through HBHCT. Results: Based on effectiveness of 37% in the intervention (HBHCT) arm compared to 16% in control arm, home based testing costs US$29 compared to US$38 per person for clinic HCT. The incremental cost effectiveness per client tested using HBHCT was $19. Conclusions: HBHCT was less costly and more effective. Home-based HCT could present a cost-effective alternative for rural ‘hard to reach’ populations depending on affordability by the health system, and should be considered as part of community outreach programs.en_ZA
dc.description.urihttp://journals.plos.org/plosone/article?id=10.1371/journal.pone.0135048
dc.description.versionPublisher's version
dc.format.extent13 pages
dc.identifier.citationTabana, H., et al. 2015. A cost-effectiveness analysis of a home- based HIV counselling and testing intervention versus the standard (facility based) HIV testing strategy in rural South Africa. PLoS ONE, 10(8): 1-13, doi: 10.1371/journal.pone.0135048en_ZA
dc.identifier.issn1932-6203 (online)
dc.identifier.issn1932-6203 (print)
dc.identifier.otherdoi: 10.1371/journal.pone.0135048
dc.identifier.urihttp://hdl.handle.net/10019.1/99118
dc.language.isoen_ZAen_ZA
dc.publisherPublic Library of Scienceen_ZA
dc.rights.holderAuthors retain copyrighten_ZA
dc.subjectHIV infections -- Diagnosis -- South Africa -- KwaZulu-Natal -- Cost effectivenessen_ZA
dc.subjectHealth counseling -- South Africaa -- KwaZulu-Natal -- Cost effectivenessen_ZA
dc.titleA cost-effectiveness analysis of a home-based HIV counselling and testing intervention versus the standard (facility based) HIV testing strategy in rural South Africaen_ZA
dc.typeArticleen_ZA
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