Economic burden and mental health of primary caregivers of perinatally HIV infected adolescents from Kilifi, Kenya

Table 2 Economic cost to caregiving for perinatally HIV infected adolescents

Cost component	Mean monthly costs per caregiver		Median USD [IQR]	Proportion of total costs^c (%)
	Kenyan shilling (SD)	USD^a (SD)
Direct costs
Direct medical cost
Administrative costs	39.34 (95.74)	0.39 (0.96)	0.0 [0.0–0.2]	1.41
Diagnostics	53.72 (168.73)	0.54 (1.69)	0.0 [0.0–0.0]	1.93
Medicine	231.14 (427.21)	2.31 (4.27)	0.0 [0.0–3.0]	8.31
Other medical costs	0.00 (0.00)	0.0 (0.00)	0.0 [0.0–0.0]	0.00
Subtotal	324.20 (565.06)	3.24 (5.65)	0.5 [0.0–4.0]	11.65
Direct non-medical cost
Travel	1111.49 (931.43)	11.11 (9.31)	8.0 [4.0–16.0]	39.92
Food	233.79 (270.36)	2.34 (2.70)	1.6 [0.0–3.7]	8.40
Bed charges	2.50 (27.39)	0.03 (0.27)	0.0 [0.0–0.0]	0.08
Subtotal	1347.78 (1104.25)	13.48 (11.04)	9.5 [5.6–20.1]	48.40
Total direct costs	1671.98 (1221.76)	16.72 (12.22)	12.0 [7.5–24.3]	60.05
Indirect costs (Productivity costs)^b
Absenteeism	733.69 (725.98)	7.34 (7.26)	4.1 [4.1–8.2]	26.35
Presenteeism	378.84 (122.83)	3.79 (1.23)	3.8 [3.0–4.5]	13.60
Total indirect costs	1112.53 (753.05)	11.13 (7.53)	8.8 [7.1–13.3]	39.95
Grand Total Cost	2784.51 (1492.33)	27.85 (14.92)	25.5 [16.4–37.6]	100.00

^aUSD – United States Dollar; 1.00USD equivalent to Kenyan shilling 100.4 (Central Bank of Kenya monthly interbank exchange rate, August 2018)
^b Absenteeism (days caregiver was completely unable to work), Presenteeism (The decrement in performance associated with the caregiver remaining at work while impaired by adolescent health problems, hours lost converted to days). Valuation was done using per capita GDP in 2017 (Ksh 411/day) (World Bank data [36])
^c Percentage computed by diving the total cost from the cost component item by the grant total cost and multiplying the result by 100
IQR-Interquartile range

ISSN: 1471-2458