The integrated care costs of HIV and non-communicable diseases in South Africa
SETTING: In sub-Saharan Africa, the syndemic of HIV and non-communicable diseases (NCDs) poses a significant challenge. To address this, leading global think tanks like the WHO advocate for integrated HIV/NCD care at primary healthcare levels. However, comparative empirical data on the costs of inte...
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| Language: | English |
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The Union
2024-12-01
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| Series: | Public Health Action |
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| Online Access: | https://www.ingentaconnect.com/contentone/iuatld/pha/2024/00000014/00000004/art00006 |
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| author | M. Moyo-Chilufya T. Mgutshini A. Musekiwa C. Hongoro |
| author_facet | M. Moyo-Chilufya T. Mgutshini A. Musekiwa C. Hongoro |
| author_sort | M. Moyo-Chilufya |
| collection | DOAJ |
| description | SETTING: In sub-Saharan Africa, the syndemic of HIV and non-communicable diseases (NCDs) poses a significant challenge. To address this, leading global think tanks like the WHO advocate for integrated HIV/NCD care at primary healthcare levels. However, comparative empirical data on the costs of integrated care are limited. South Africa, with the largest HIV programme globally, was purposively selected for our comparative case study. OBJECTIVE: To determine the cost of integrated HIV/NCD care from the providers’ perspective at two ‘ideal status’ public healthcare facilities in South Africa as case studies. DESIGN: A multi-pronged methodology was used to collect provider cost data via retrospective documentary sources or records and a question-and-answer session with facility managers who provided key information on cost-related data. Data analysis utilised an activity-based costing (ABC) method. RESULTS: Despite the difference in the size of the clinics, the cost per patient in terms of ABC is similar between the two primary healthcare facilities, USD261.60 and USD226.30, respectively. CONCLUSION: The ABC method can be utilised to cost integrated care, foster health economic data availability for future research, and inform health policymakers. |
| format | Article |
| id | doaj-art-ee9a20751e7c4f7dbf9f85a103e29130 |
| institution | Kabale University |
| issn | 2220-8372 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | The Union |
| record_format | Article |
| series | Public Health Action |
| spelling | doaj-art-ee9a20751e7c4f7dbf9f85a103e291302024-12-03T08:05:40ZengThe UnionPublic Health Action2220-83722024-12-0114416416810.5588/pha.24.00276The integrated care costs of HIV and non-communicable diseases in South AfricaM. Moyo-Chilufya0T. Mgutshini1A. Musekiwa2C. Hongoro3School of Health Systems and Public Health, Faculty of Health Sciences, University of Pretoria, Pretoria, South Africa;University of South Africa, College of Graduate Studies, Pretoria, South Africa;School of Health Systems and Public Health, Faculty of Health Sciences, University of Pretoria, Pretoria, South Africa;School of Health Systems and Public Health, Faculty of Health Sciences, University of Pretoria, Pretoria, South Africa;SETTING: In sub-Saharan Africa, the syndemic of HIV and non-communicable diseases (NCDs) poses a significant challenge. To address this, leading global think tanks like the WHO advocate for integrated HIV/NCD care at primary healthcare levels. However, comparative empirical data on the costs of integrated care are limited. South Africa, with the largest HIV programme globally, was purposively selected for our comparative case study. OBJECTIVE: To determine the cost of integrated HIV/NCD care from the providers’ perspective at two ‘ideal status’ public healthcare facilities in South Africa as case studies. DESIGN: A multi-pronged methodology was used to collect provider cost data via retrospective documentary sources or records and a question-and-answer session with facility managers who provided key information on cost-related data. Data analysis utilised an activity-based costing (ABC) method. RESULTS: Despite the difference in the size of the clinics, the cost per patient in terms of ABC is similar between the two primary healthcare facilities, USD261.60 and USD226.30, respectively. CONCLUSION: The ABC method can be utilised to cost integrated care, foster health economic data availability for future research, and inform health policymakers.https://www.ingentaconnect.com/contentone/iuatld/pha/2024/00000014/00000004/art00006hivnon-communicable diseasesintegratedsouthern africacost |
| spellingShingle | M. Moyo-Chilufya T. Mgutshini A. Musekiwa C. Hongoro The integrated care costs of HIV and non-communicable diseases in South Africa Public Health Action hiv non-communicable diseases integrated southern africa cost |
| title | The integrated care costs of HIV and non-communicable diseases in South Africa |
| title_full | The integrated care costs of HIV and non-communicable diseases in South Africa |
| title_fullStr | The integrated care costs of HIV and non-communicable diseases in South Africa |
| title_full_unstemmed | The integrated care costs of HIV and non-communicable diseases in South Africa |
| title_short | The integrated care costs of HIV and non-communicable diseases in South Africa |
| title_sort | integrated care costs of hiv and non communicable diseases in south africa |
| topic | hiv non-communicable diseases integrated southern africa cost |
| url | https://www.ingentaconnect.com/contentone/iuatld/pha/2024/00000014/00000004/art00006 |
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