Imperial College London
Alternate

ProfessorMarie-ClaudeBoily

Faculty of Medicine, School of Public Health

Professor of Mathematical Epidemiology
 
 
 
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Contact

 

+44 (0)20 7594 3263mc.boily

 
 
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Location

 

LG26Norfolk PlaceSt Mary's Campus

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Summary

 

Publications

Citation

BibTex format

@article{d'Elbée:2021:10.3389/fpubh.2021.653612,
author = {d'Elbée, M and Traore, MM and Badiane, K and Vautier, A and Simo, Fotso A and Kabemba, OK and Rouveau, N and Godfrey-Faussett, P and Maheu-Giroux, M and Boily, M-C and Medley, GF and Larmarange, J and Terris-Prestholt, F},
doi = {10.3389/fpubh.2021.653612},
journal = {Frontiers in Public Health},
title = {Costs and scale-up costs of integrating HIV self-testing into civil society organisation-led programmes for key populations in Côte d'Ivoire, Senegal, and Mali},
url = {http://dx.doi.org/10.3389/fpubh.2021.653612},
volume = {9},
year = {2021}
}
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RIS format (EndNote, RefMan)

TY  - JOUR
AB  - Despite significant progress on the proportion of individuals who know their HIV status in 2020, Côte d'Ivoire (76%), Senegal (78%), and Mali (48%) remain far below, and key populations (KP) including female sex workers (FSW), men who have sex with men (MSM), and people who use drugs (PWUD) are the most vulnerable groups with a HIV prevalence at 5-30%. HIV self-testing (HIVST), a process where a person collects his/her own specimen, performs a test, and interprets the result, was introduced in 2019 as a new testing modality through the ATLAS project coordinated by the international partner organisation Solthis (IPO). We estimate the costs of implementing HIVST through 23 civil society organisations (CSO)-led models for KP in Côte d'Ivoire (N = 7), Senegal (N = 11), and Mali (N = 5). We modelled costs for programme transition (2021) and early scale-up (2022-2023). Between July 2019 and September 2020, a total of 51,028, 14,472, and 34,353 HIVST kits were distributed in Côte d'Ivoire, Senegal, and Mali, respectively. Across countries, 64-80% of HIVST kits were distributed to FSW, 20-31% to MSM, and 5-8% to PWUD. Average costs per HIVST kit distributed were $15 for FSW (Côte d'Ivoire: $13, Senegal: $17, Mali: $16), $23 for MSM (Côte d'Ivoire: $15, Senegal: $27, Mali: $28), and $80 for PWUD (Côte d'Ivoire: $16, Senegal: $144), driven by personnel costs (47-78% of total costs), and HIVST kits costs (2-20%). Average costs at scale-up were $11 for FSW (Côte d'Ivoire: $9, Senegal: $13, Mali: $10), $16 for MSM (Côte d'Ivoire: $9, Senegal: $23, Mali: $17), and $32 for PWUD (Côte d'Ivoire: $14, Senegal: $50). Cost reductions were mainly explained by the spreading of IPO costs over higher HIVST distribution volumes and progressive IPO withdrawal at scale-up. In all countries, CSO-led HIVST kit provision to KP showed relatively high costs during the study period related to the progressive integration of the programme to CSO a
AU  - d'Elbée,M
AU  - Traore,MM
AU  - Badiane,K
AU  - Vautier,A
AU  - Simo,Fotso A
AU  - Kabemba,OK
AU  - Rouveau,N
AU  - Godfrey-Faussett,P
AU  - Maheu-Giroux,M
AU  - Boily,M-C
AU  - Medley,GF
AU  - Larmarange,J
AU  - Terris-Prestholt,F
DO  - 10.3389/fpubh.2021.653612
PY  - 2021///
SN  - 2296-2565
TI  - Costs and scale-up costs of integrating HIV self-testing into civil society organisation-led programmes for key populations in Côte d'Ivoire, Senegal, and Mali
T2  - Frontiers in Public Health
UR  - http://dx.doi.org/10.3389/fpubh.2021.653612
UR  - https://www.ncbi.nlm.nih.gov/pubmed/34109146
UR  - http://hdl.handle.net/10044/1/89905
VL  - 9
ER  -
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