Cost of Community Integrated Prevention Campaign for Malaria, HIV, and Diarrhea in Rural Kenya

Details

• Alternative Title:
  BMC Health Serv Res
• Personal Author:
  Kahn, James G ; Harris, Brian ; Mermin, Jonathan H ; Clasen, Thomas ; Lugada, Eric ; Grabowksy, Mark ; Vestergaard Frandsen, Mikkel ; Garg, Navneet
• Description:
  Background
  
  Delivery of community-based prevention services for HIV, malaria, and diarrhea is a major priority and challenge in rural Africa. Integrated delivery campaigns may offer a mechanism to achieve high coverage and efficiency.
  
  Methods
  
  We quantified the resources and costs to implement a large-scale integrated prevention campaign in Lurambi Division, Western Province, Kenya that reached 47,133 individuals (and 83% of eligible adults) in 7 days. The campaign provided HIV testing, condoms, and prevention education materials; a long-lasting insecticide-treated bed net; and a water filter. Data were obtained primarily from logistical and expenditure data maintained by implementing partners. We estimated the projected cost of a Scaled-Up Replication (SUR), assuming reliance on local managers, potential efficiencies of scale, and other adjustments.
  
  Results
  
  The cost per person served was $41.66 for the initial campaign and was projected at $31.98 for the SUR. The SUR cost included 67% for commodities (mainly water filters and bed nets) and 20% for personnel. The SUR projected unit cost per person served, by disease, was $6.27 for malaria (nets and training), $15.80 for diarrhea (filters and training), and $9.91 for HIV (test kits, counseling, condoms, and CD4 testing at each site).
  
  Conclusions
  
  A large-scale, rapidly implemented, integrated health campaign provided services to 80% of a rural Kenyan population with relatively low cost. Scaling up this design may provide similar services to larger populations at lower cost per person.
  
  
• Subjects:
  Community-Institutional Relations Delivery Of Health Care, Integrated Diarrhea Health Care Coalitions Health Promotion HIV Infections Humans Malaria Research Article Rural Population
• Source:
  BMC Health Serv Res. 2011; 11:346.
• Document Type:
  Journal Article
• Place as Subject:
  Kenya
• Volume:
  11
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:4a0b5f86679a663cf6f54701a229fcb4f88a6b519c0925f31222585d5c4e0e1d
• Download URL:
  https://stacks.cdc.gov/view/cdc/7998/cdc_7998_DS1.pdf
• File Type:
  [PDF - 254.99 KB ]