Category Archives: Financial arrangements

How care is paid for

Cost-effectiveness of rapid point-of-care testing (POCT) programs for HIV

2020

Key take-home messages Studies suggest that rapid HIV tests can be cost-effective in high-income settings under various scenarios. Criteria to examine the cost-effectiveness of rapid tests for HIV include cost...

Economic compensation interventions to increase uptake of voluntary medical male circumcision for HIV prevention: A systematic review and meta-analysis

2020

BACKGROUND: Economic compensation interventions may help support higher voluntary medical male circumcision (VMMC) coverage in priority sub-Saharan African countries. To inform World Health Organization guidelines, we conducted a systematic review...

The state of costing research for HIV interventions in sub-Saharan Africa

2019

The past decade has seen a growing emphasis on the production of high-quality costing data to improve the efficiency and cost-effectiveness of global health interventions. The need for such data...

Meta-analysis of average costs of HIV testing and counselling and voluntary medical male circumcision across thirteen countries

2019

Objective: Explore facility-level average costs per client of HIV testing and counselling (HTC) and voluntary medical male circumcision (VMMC) services in 13 countries.Methods: Through a literature search we identified studies...

Cost of differentiated HIV antiretroviral therapy delivery strategies in sub-Saharan Africa: A systematic review

2019

BACKGROUND: Efficient and scalable models for HIV treatment are needed to maximize health outcomes with available resources. By adapting services to client needs, differentiated antiretroviral therapy (DART) has the potential...

Leveraging the lessons learned from financing HIV programs to advance the universal health coverage (UHC) agenda in the East African community

2019

Background: Although there is broad consensus around the need to accelerate progress towards universal health coverage (UHC) in Sub-Saharan Africa, the financing strategies for achieving it are still unclear. We...

The impact, cost and cost-effectiveness of oral pre-exposure prophylaxis in sub-Saharan Africa: A scoping review of modelling contributions and way forward

2019

INTRODUCTION: Oral pre-exposure prophylaxis (PrEP) is a new form of HIV prevention being considered for inclusion in national prevention portfolios. Many mathematical modelling studies have been undertaken that speak to...

How effective are approaches to migrant screening for infectious diseases in Europe? A systematic review

2018

Rates of migration to Europe, and within Europe, have increased in recent years, with considerable implications for health systems. Migrants in Europe face a disproportionate burden of tuberculosis, HIV, and...

Scaling up HIV self-testing in sub-Saharan Africa: A review of technology, policy and evidence

2018

PURPOSE OF REVIEW: HIV self-testing (HIVST) can provide complementary coverage to existing HIV testing services and improve knowledge of status among HIV-infected individuals. This review summarizes the current technology, policy...

Out-of-pocket costs associated with HIV in publicly funded high-income health care settings

2019

Key take-home messages The aging of the people living with HIV in care is leading to increased HIV care costs. There is considerable inter-jurisdictional heterogeneity in the cost-sharing policies for...

Cost-effectiveness of HIV prevention interventions in sub-Saharan Africa: A systematic review

2019

Background: Sub-Saharan Africa carries the highest HIV burden globally. It is important to understand how interventions cost-effectively fit within guidelines and implementation plans, especially in low- and middle-income settings. We reviewed...

Do quality improvement initiatives improve outcomes for patients in antiretroviral programs in low- and middle-income countries? A systematic review

2019

Background: There have been a range of quality improvement (QI) and quality assurance initiatives in low- and middle-income countries to improve antiretroviral therapy (ART) treatment outcomes for people living with HIV....

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