Researchers at Johns Hopkins and the Perinatal HIV Research Unit, University of Witwatersrand, South Africa, have determined that the actual average cost for providing primary care to an HIV-infected patient is $30 USD per visit.
"Health care providers and government policy makers can use the information to plan and prepare budgets for aid programs in South and sub-Saharan Africa, where new infections increasingly overwhelm local health services," says study co-author Neil Martinson, M.P.H., research associate, The Johns Hopkins University School of Medicine and Johns Hopkins Bloomberg School of Public Health.
While the costs associated with secondary therapy - using antiretroviral medications - are significant and well known, little information has to date been available about the other costs associated with care. On average, there is a three-month period of primary care, such as laboratory tests, for people who are HIV-infected, before they can start anti-retroviral therapy.
The six-month study looked at the costs associated with providing primary care to nearly 2,000 patients. Actual costs ranged from $25 for a basic visit to $50 per visit when screening tests were performed. Included in the $30 average figure are costs for staff (35 percent, primarily a nurse supported by a community doctor), plus laboratory tests (26 percent), drugs (11 percent), and X-rays (5 percent). Remaining costs were associated with overhead.
Real costs of providing primary care to HIV-infected people in Soweto, South Africa. Neil A. Martinson, D. Bakos, Glenda Gray, James McIntyre.