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Table 2 Annual direct health provider costs of HIV testing and counselling

From: Cost and quality of life analysis of HIV self-testing and facility-based HIV testing and counselling in Blantyre, Malawi

  Ndirande clinic Chilomoni clinic QECH HTC clinica HIVST service
Cost category US Dollars (2014) INT Dollars (2014) % of Totalb US Dollars (2014) INT Dollars (2014) % of Totalb US Dollars (2014) INT Dollars (2014) % of Totalb US Dollars (2014) INT Dollars (2014) % of Totalb
Staff salaries 6,738 24,545 17 . 9 % 6,433 15,019 11 . 1 % 8,710 24,195 12 . 5 % 23,066 79,431 30 . 3 %
Staff training 353 982 0 . 7 % 530 1,472 1 . 1 % 353 982 0 . 5 % 12,268 34,077 13 . 0 %
Monitoring and evaluation 2,098 5,828 4 . 3 % 5,785 16,069 11 . 9 % 2,920 8,111 4 . 2 % 15,833 54,521 20 . 8 %
Consumables and equipment 38,453 96,475 70 . 5 % 40,910 94,070 69 . 6 % 60,324 126,995 65 . 5 % 82,133 94,051 35 . 9 %
Capital/Overheads 3,257 9,047 6 . 6 % 3,102 8,618 6 . 4 % 12,129 33,691 17 . 4 % 0 0 0
Total annual health provider cost 50,899 136,876   56,760 135,248   84,436 193,973   133,300 262,080  
Individuals tested 6759   5372   9488   15190  
Direct cost per individual tested 7 . 53 20 . 25 10 . 57 25 . 18 8 . 90 20 . 44 8 . 78 17 . 25
HIV positive identified 756   743   2984   1367c  
Direct cost per HIV positive identified 67 . 33 181 . 05 76 . 39 182 . 03 28 . 30 65 . 00 97 . 50 191 . 70
Direct cost per HIV positive individuals assessed for ART eligibility 83 . 48 224 . 51   92 . 38 220 . 13   37 . 73 86 . 67   165.14 324.67  
(173.05)d (340.23)d
(233.90)e (459.86)e
Direct cost per HIV positive initiated onto ART 109 . 85 295 . 40   132 . 42 315 . 52   85 . 75 196 . 98   319.67 628.50  
  1. aOutpatient HIV Testing and counselling clinic at Queen Elizabeth Central Hospital
  2. bPercentages based on costs estimated in International Dollars
  3. cEstimated from HIV prevalence reported in main trial
  4. dHigh linkage rate (56.3 %) from main trial used to estimate cost per individual assessed for ART eligibility [15]
  5. eLow linkage rate (41.7 %) from main trial used to estimate cost per individual assessed for ART eligibility [15]