Retention in care, resource utilization, and costs for adults receiving antiretroviral therapy in Zambia: a retrospective cohort study

Table 6 Unit costs (in 2011 USD) for resources utilized by adults receiving antiretroviral therapy

Resource	Site 1	Site 2	Site 3	Site 4	Site 5	Site 6
ARV drugs, cost per patient-month dispensed
NRTI combinations
TDF 300 mg + FTC 200 mg	10.54	10.54	10.54	10.54	10.54	10.54
AZT 300 mg + 3TC 150 mg	8.41	8.41	8.41	8.41	8.41	8.41
ABC 300 mg + 3TC 150 mg	18.64	18.64	18.64	18.64	18.64	18.64
d4T 30 mg + 3TC 150 mg	3.01	3.01	3.01	3.01	3.01	3.01
NNRTI or PI
NVP 200 mg	2.34	2.34	2.34	2.34	2.34	2.34
EFV 600 mg	4.26	4.26	4.26	4.26	4.26	4.26
LPV/r 200/50 mg	36.70	36.70	36.70	36.70	36.70	36.70
Non-ARV drugs, cost per patient-month dispensed
Co-trimoxazole 400/80 mg	0.93	0.93	0.93	0.93	0.93	0.93
Laboratory tests, cost per test^a
CD4 test	2.87	2.87	11.90	10.56	18.16	10.06
Blood chemistry test	2.93	2.93	5.01	7.23	5.11	2.27
Full blood count	2.80	2.80	2.14	5.24	5.60	1.11
Clinic visits with each type of provider, cost per visit^b
Doctor or clinical officer visit	1.71	1.82	0.57	0.37	2.86	1.01
Nurse visit	0.52	1.01	0.48	0.40	1.91	0.59
Counselor visit	0.56	0.15	0.31	1.00	2.11	2.21
Pharmacist visit	0.42	0.32	0.29	0.45	1.50	0.28
Fixed resources, cost per month in care^c	1.03	1.17	1.21	0.60	6.04	3.31

3TC: lamivudine; ABC: abacavir; ARV: antiretroviral; AZT: zidovudine; d4T: stavudine; EFV: efavirenz; FTC: emtricitabine; LPV/r: ritonavir-boosted lopinavir; NNRTI: non-nucleoside reverse transcriptase inhibitor; NRTI: nucleoside reverse transcriptase inhibitor; NVP: nevirapine; PI: protease inhibitor; TDF: tenofovir; USD: United States Dollar.
^aLaboratory tests for sites 1 and 2 were done at a centralized, high volume laboratory in Lusaka. Laboratory tests for sites 3, 4, 5, and 6 were done onsite.
^bClinic visit costs include the cost of staff time for staff who see patients.
^cFixed costs include the cost of buildings and infrastructure, equipment, supplies, vehicles, and staff time for staff employed in the ART clinic who do not see patients.

ISSN: 1471-2458