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Table 2 Economic cost to caregiving for perinatally HIV infected adolescents

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

Cost componentMean monthly costs per caregiverMedian USD [IQR]Proportion of total costsc (%)
 Kenyan shilling (SD)USDa (SD)  
Direct costs
 Direct medical cost
  Administrative costs39.34 (95.74)0.39 (0.96)0.0 [0.0–0.2]1.41
  Diagnostics53.72 (168.73)0.54 (1.69)0.0 [0.0–0.0]1.93
  Medicine231.14 (427.21)2.31 (4.27)0.0 [0.0–3.0]8.31
  Other medical costs0.00 (0.00)0.0 (0.00)0.0 [0.0–0.0]0.00
  Subtotal324.20 (565.06)3.24 (5.65)0.5 [0.0–4.0]11.65
 Direct non-medical cost
  Travel1111.49 (931.43)11.11 (9.31)8.0 [4.0–16.0]39.92
  Food233.79 (270.36)2.34 (2.70)1.6 [0.0–3.7]8.40
  Bed charges2.50 (27.39)0.03 (0.27)0.0 [0.0–0.0]0.08
  Subtotal1347.78 (1104.25)13.48 (11.04)9.5 [5.6–20.1]48.40
 Total direct costs1671.98 (1221.76)16.72 (12.22)12.0 [7.5–24.3]60.05
Indirect costs (Productivity costs)b
 Absenteeism733.69 (725.98)7.34 (7.26)4.1 [4.1–8.2]26.35
 Presenteeism378.84 (122.83)3.79 (1.23)3.8 [3.0–4.5]13.60
 Total indirect costs1112.53 (753.05)11.13 (7.53)8.8 [7.1–13.3]39.95
Grand Total Cost2784.51 (1492.33)27.85 (14.92)25.5 [16.4–37.6]100.00
  1. aUSD – United States Dollar; 1.00USD equivalent to Kenyan shilling 100.4 (Central Bank of Kenya monthly interbank exchange rate, August 2018)
  2. 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])
  3. c Percentage computed by diving the total cost from the cost component item by the grant total cost and multiplying the result by 100
  4. IQR-Interquartile range