Evaluation of Community-Based, Mobile HIV-Care, Peer-Delivered Linkage Case Management in Manzini Region, Eswatini

Bibliographic Data

ID15469760
AuthorsChutima Suraratdecha (0000-0003-4907-7132, Centers for Disease Control and Prevention, corresponding author), Duncan Mackellar (0000-0001-8217-9881, Centers for Disease Control and Prevention), Thabo Hlophe (Ministry of Health), Makhosazana Dlamini (Population Services International), Dawud Ujamaa (ICF International (United States)), Sherri Pals (0000-0002-0003-6236, Centers for Disease Control and Prevention), Lenhle Dube (Ministry of Health), Daniel Williams (0000-0001-5075-2049, U.S. Centers for Disease Control and Prevention, Pretoria P.O. Box 9536, South Africa), Daniel B Williams (0000-0003-1609-5748, University of Pretoria), Johnita Byrd (ICF International (United States)), Phumzile Mndzebele (U.S. Centers for Disease Control and Prevention, Mbabane P.O. Box D202, Eswatini), Stephanie Behel (0000-0001-9594-0975, Centers for Disease Control and Prevention), Ishani Pathmanathan (0000-0001-8815-2129, Centers for Disease Control and Prevention), Sikhathele Mazibuko (0000-0003-2811-2621, U.S. Centers for Disease Control and Prevention, Mbabane P.O. Box D202, Eswatini), Endale Tilahun (Population Services International), Caroline Ryan (U.S. Centers for Disease Control and Prevention, Mbabane P.O. Box D202, Eswatini)
Year2022
Volume20
Issue1
Pages38-38
Publication date2022-12-20
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueInternational Journal of Environmental Research and Public Health (JOURNAL)
Journal identifiersISSN: 1661-7827 • E-ISSN: 1660-4601
PublisherMultidisciplinary Digital Publishing Institute (PUBLISHER • CH)
DOI10.3390/ijerph20010038
PMID36612360
OpenAlexW4312172529
LanguageEN
Citations received1
References cited15

The success of antiretroviral therapy (ART) requires continuous engagement in care and optimal levels of adherence to achieve sustained HIV viral suppression. We evaluated HIV-care cascade costs and outcomes of a community-based, mobile HIV-care, peer-delivered linkage case-management program (CommLink) implemented in Manzini region, Eswatini. Abstraction teams visited referral facilities during July 2019-April 2020 to locate, match, and abstract the clinical data of CommLink clients diagnosed between March 2016 and March 2018. An ingredients-based costing approach was used to assess economic costs associated with CommLink. The estimated total CommLink costs were $2 million. Personnel costs were the dominant component, followed by travel, commodities and supplies, and training. Costs per client tested positive were $499. Costs per client initiated on ART within 7, 30, and 90 days of diagnosis were $2114, $1634, and $1480, respectively. Costs per client initiated and retained on ART 6, 12, and 18 months after diagnosis were $2343, $2378, and $2462, respectively. CommLink outcomes and costs can help inform community-based HIV testing, linkage, and retention programs in other settings to strengthen effectiveness and improve efficiency

Activity-based costing · Business · Case management · Family medicine · Human immunodeficiency virus (HIV · Linkage (software · Medical emergency · Operations management · Referral · Engineering · HIV Research and Treatment · HIV, Drug Use, Sexual Risk · HIV/AIDS Research and Interventions · Medicine · Nursing · Marketing