Details:

Alternative Title:
BMC Health Serv Res
Personal Author:
Kahn, James G ; Harris, Brian ; Mermin, Jonathan H ; Clasen, Thomas ; Lugada, Eric ; ... More +
Kahn, James G ; Harris, Brian ; Mermin, Jonathan H ; Clasen, Thomas ; Lugada, Eric ; Grabowksy, Mark ; Vestergaard Frandsen, Mikkel ; Garg, Navneet Less -
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.


Subject:
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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
Collection(s):
CDC Public Access
Main Document Checksum:
[+]
urn:sha256:4a0b5f86679a663cf6f54701a229fcb4f88a6b519c0925f31222585d5c4e0e1d
File Type:

Supporting Files

• 	1472-6963-11-346-1.gif	gif
  	1472-6963-11-346-1.jpg	jpeg
  	1472-6963-11-346.nxml	txt
  	license.txt	txt

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