IDEAS home Printed from https://ideas.repec.org/a/gam/jijerp/v20y2022i1p38-d1009374.html
   My bibliography  Save this article

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

Author

Listed:
  • Chutima Suraratdecha

    (Division of Global HIV and TB, Center for Global Health, U.S. Centers for Disease Control and Prevention, Atlanta, GA 30329, USA)

  • Duncan MacKellar

    (Division of Global HIV and TB, Center for Global Health, U.S. Centers for Disease Control and Prevention, Atlanta, GA 30329, USA)

  • Thabo Hlophe

    (Eswatini Ministry of Health, Mbabane P.O. Box 5, Eswatini)

  • Makhosazana Dlamini

    (Population Services International, Mbabane P.O. Box 170, Eswatini)

  • Dawud Ujamaa

    (ICF International, Atlanta, GA 30345, USA)

  • Sherri Pals

    (Division of Global HIV and TB, Center for Global Health, U.S. Centers for Disease Control and Prevention, Atlanta, GA 30329, USA)

  • Lenhle Dube

    (Eswatini Ministry of Health, Mbabane P.O. Box 5, Eswatini)

  • Daniel Williams

    (U.S. Centers for Disease Control and Prevention, Pretoria P.O. Box 9536, South Africa)

  • Johnita Byrd

    (ICF International, Atlanta, GA 30345, USA)

  • Phumzile Mndzebele

    (U.S. Centers for Disease Control and Prevention, Mbabane P.O. Box D202, Eswatini)

  • Stephanie Behel

    (Division of Global HIV and TB, Center for Global Health, U.S. Centers for Disease Control and Prevention, Atlanta, GA 30329, USA)

  • Ishani Pathmanathan

    (Division of Global HIV and TB, Center for Global Health, U.S. Centers for Disease Control and Prevention, Atlanta, GA 30329, USA)

  • Sikhathele Mazibuko

    (U.S. Centers for Disease Control and Prevention, Mbabane P.O. Box D202, Eswatini)

  • Endale Tilahun

    (Population Services International, Mbabane P.O. Box 170, Eswatini)

  • Caroline Ryan

    (U.S. Centers for Disease Control and Prevention, Mbabane P.O. Box D202, Eswatini)

Abstract

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.

Suggested Citation

  • Chutima Suraratdecha & Duncan MacKellar & Thabo Hlophe & Makhosazana Dlamini & Dawud Ujamaa & Sherri Pals & Lenhle Dube & Daniel Williams & Johnita Byrd & Phumzile Mndzebele & Stephanie Behel & Ishani, 2022. "Evaluation of Community-Based, Mobile HIV-Care, Peer-Delivered Linkage Case Management in Manzini Region, Eswatini," IJERPH, MDPI, vol. 20(1), pages 1-9, December.
    • Handle: RePEc:gam:jijerp:v:20:y:2022:i:1:p:38-:d:1009374
    as

    Download full text from publisher

    File URL: https://www.mdpi.com/1660-4601/20/1/38/pdf
    Download Restriction: no
    File URL: https://www.mdpi.com/1660-4601/20/1/38/
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. Simukai Shamu & Jean Slabbert & Geoffrey Guloba & Dalene Blom & Sikhulile Khupakonke & Nomea Masihleho & Julius Kamera & Suzanne Johnson & Thato Farirai & Nkhensani Nkhwashu, 2019. "Linkage to care of HIV positive clients in a community based HIV counselling and testing programme: A success story of non-governmental organisations in a South African district," PLOS ONE, Public Library of Science, vol. 14(1), pages 1-14, January.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.

      Corrections

      All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:gam:jijerp:v:20:y:2022:i:1:p:38-:d:1009374. See general information about how to correct material in RePEc.

      If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

      If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

      If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

      For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: MDPI Indexing Manager (email available below). General contact details of provider: https://www.mdpi.com .

      Please note that corrections may take a couple of weeks to filter through the various RePEc services.

      IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.