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State of HIV costing in Latin America and the Caribbean

A systematic literature review

Bibliographic Data

ID14967526
AuthorsDiego Cerecero-Garcia (0000-0001-5368-9241, Public Health Policy Evaluation Unit, Imperial College, London, England.), Fern Terris-Prestholt (0000-0003-1693-5196, United Nations Joint Programme on HIV/AIDS, Geneva, Switzerland.), Fernando Macías-González (0000-0002-4731-3384, Center for Evaluation Research and Surveys, National Institute of Public Health, Mexico City, Mexico.), Sergio Bautista-Arredondo (0000-0001-8910-3011, Center for Evaluation Research and Surveys, National Institute of Public Health, Mexico City, Mexico.)
Year2024
Volume48
Pages1
Publication date2024-09-16
Open AccessYes
TypeARTICLE
VenueRevista Panamericana de Salud Pública (JOURNAL)
Journal identifiersISSN: 1020-4989 • E-ISSN: 1680-5348
PublisherPan American Health Organization (PUBLISHER • US)
DOI10.26633/rpsp.2024.84
LanguageEN
Citations received2
References cited20

Objectives. To summarize available data on unit costs for human immunodeficiency virus (HIV) testing, prevention, and care interventions in Latin America and the Caribbean. Methods. We conducted a systematic literature review of costing studies published between 2012 and 2024, and selected those reporting empirically measured costing data. The available data were categorized according to predefined intervention categories and compared by time and place. We also explored variations in unit costs by intervention type. Results. Of 1 746 studies identified, 22 met the inclusion criteria, which provided 103 unique unit cost estimates from nine countries. About 50% of the included studies were published between 2019 and 2021. Antiretroviral therapy services had the most cost data available (39% of unit costs), followed by inpatient care (27%) and HIV testing (24%). Considerable cost variations were observed both within and between interventions. Conclusions. Our analysis underscores the need for accurate and reliable cost data to support HIV budgeting and decision-making efforts. We identified several gaps in the availability of cost data and emphasize the importance of presenting results more effectively by incorporating key contextual variables. Given the challenges of shrinking budgets and sustainability risks, robust evidence is indispensable to inform priority setting and budget allocation for HIV services

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Citations per year2
Citation span2025 - 2025 (1)
Highly citedNo

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