Costs of implementing community-based intervention for HIV testing in sub-Saharan Africa: a systematic review.
Costs of implementing community-based intervention for HIV testing in sub-Saharan Africa: a systematic review.
复制标题
在撒哈拉以南非洲实施基于社区的艾滋病毒检测干预措施的成本：系统评价。
DOI：
10.1186/s43058-021-00177-y
复制
发表时间：
2021-07-05
影响因子：
--
通讯作者：
Iwelunmor J
中科院分区：
文献类型：
--
作者：
Uzoaru F;Nwaozuru U;Ong JJ;Obi F;Obiezu-Umeh C;Tucker JD;Shato T;Mason SL;Carter V;Manu S;BeLue R;Ezechi O;Iwelunmor J
基于社区的干预措施是旨在改善社区人民福祉的干预措施。艾滋病毒检测的CBIs旨在通过在家庭、学校或社区中心接触被确定为高风险的人群，增加检测服务的可用性。然而，对撒哈拉以南非洲地区这些基于社区的干预措施进行详细成本分析的证据有限。我们对撒哈拉以南非洲艾滋病毒检测干预措施的成本分析进行了系统回顾。在SCOPUS、CINAHL、MEDLINE、PsycINFO、Web of Science和Global Health数据库中进行关键词检索。使用的三个关键术语类别是成本（实施成本或成本效益或成本分析或成本效益或边际成本）、干预（艾滋病毒检测）和区域（撒哈拉以南非洲或撒哈拉以南非洲或SSA）。如果CBI研究主要侧重于艾滋病毒检测，在撒哈拉以南非洲实施，并使用微成本或成分方法，则将其纳入。我们发现了1533篇引文。经过筛选，10项研究被纳入审查：5项来自东非，5项来自南部非洲。两项研究进行了成本-效果分析，一项研究进行了成本-效用分析。其余7项研究是成本分析。确定了四种干预类型：艾滋病毒自我检测（HIVST），家庭为基础的，移动的，和提供者发起的测试和咨询。共同计算费用的资源包括人员（n = 9）、材料和设备（n = 6）和培训（n = 5）。报告的成本结果包括总干预成本（n = 9）、每次HIV检测的成本（n = 9）、每次诊断的成本（n = 5）和每次护理联系的成本（n = 3）。总体而言，干预措施的实施成本高于控制，与基于设施的测试相比，HIVST的成本差异最大。为了更好地为政策提供信息，迫切需要评估与在撒哈拉以南非洲实施能力建设相关的成本。成本报告必须详细、统一，并遵循经济评价准则。这一方法最大限度地减少了可能导致决策者低估在其他环境中扩大、维持或复制成功干预措施所需资源的偏见。在一个不断发展的实施研究领域，这一审查有助于目前的资源实施成本研究。在线版本包含补充材料，可通过10.1186/s43058-021-00177-y获得。
Community-based interventions (CBIs) are interventions aimed at improving the well-being of people in a community. CBIs for HIV testing seek to increase the availability of testing services to populations that have been identified as at high risk by reaching them in homes, schools, or community centers. However, evidence for a detailed cost analysis of these community-based interventions in sub-Saharan Africa (SSA) is limited. We conducted a systematic review of the cost analysis of HIV testing interventions in SSA. Keyword search was conducted on SCOPUS, CINAHL, MEDLINE, PsycINFO, Web of Science, and Global Health databases. Three categories of key terms used were cost (implementation cost OR cost-effectiveness OR cost analysis OR cost-benefit OR marginal cost), intervention (HIV testing), and region (sub-Saharan Africa OR sub-Saharan Africa OR SSA). CBI studies were included if they primarily focused on HIV testing, was implemented in SSA, and used micro-costing or ingredients approach. We identified 1533 citations. After screening, ten studies were included in the review: five from East Africa and five from Southern Africa. Two studies conducted cost-effectiveness analysis, and one study was a cost-utility analysis. The remainder seven studies were cost analyses. Four intervention types were identified: HIV self-testing (HIVST), home-based, mobile, and Provider Initiated Testing and Counseling. Commonly costed resources included personnel (n = 9), materials and equipment (n = 6), and training (n = 5). Cost outcomes reported included total intervention cost (n = 9), cost per HIV test (n = 9), cost per diagnosis (n = 5), and cost per linkage to care (n = 3). Overall, interventions were implemented at a higher cost than controls, with the largest cost difference with HIVST compared to facility-based testing. To better inform policy, there is an urgent need to evaluate the costs associated with implementing CBIs in SSA. It is important for cost reports to be detailed, uniform, and informed by economic evaluation guidelines. This approach minimizes biases that may lead decision-makers to underestimate the resources required to scale up, sustain, or reproduce successful interventions in other settings. In an evolving field of implementation research, this review contributes to current resources on implementation cost studies. The online version contains supplementary material available at 10.1186/s43058-021-00177-y.
登录
查看更多内容
影响因子：
4.4
作者：
Bogart, Laura M.;Wagner, Glenn J.;Wanyenze, Rhoda K.
通讯作者：
Wanyenze, Rhoda K.
影响因子：
3.8
作者：
Chaiyachati, Krisda H.;Ogbuoji, Osondu;Baernighausen, Till
通讯作者：
Baernighausen, Till
高风险年轻人使用艾滋病毒自我测试的信息，动机和行为技巧。
影响因子：
4.4
作者：
Brown W 3rd;Carballo-Diéguez A;John RM;Schnall R
通讯作者：
Schnall R
影响因子：
2.8
作者：
Brennan A;Jackson A;Horgan M;Bergin CJ;Browne JP
通讯作者：
Browne JP
影响因子：
2.6
作者：
Doherty, Jane E.;Wilkinson, Thomas;Hofman, Karen
通讯作者：
Hofman, Karen