Cell

Input

Base case
estimate
(and range
if relevant)

Methods and sources

Setting

C11, C12,
C14, C15,
C17

Annual births in service area

C22

Proportion of women who obtain prenatal care in health facilities capable of delivering MTCT interventions

C27 - C34

Percent arriving at clinic in each gestational age interval

Project intake logs: March 1 - April 15, 1999; and August 18 - October 1, 1999

C38 - E38

HIV prevalence in pregnant women attending antenatal care clinics.

HIV prevalence from 1996 multi-site urban perinatal clinic study, from Mrs. Rebtusi in health ministry

C41

Rate of mother-to-child transmission (perinatal)

C44

Discount rate

Discount rate of 5% requested by Health Minister 7/8/00 to be consistent with govt policy. Will do analysis with both 5% and 3%.

C47 - C48

Life expectancy

VCT

C5

“External” cost of VCT

C35

Percent of women registering for VCT who know they are HIV+ from earlier test

C36

False positive rate of initial test, (e.g., ELISA)

C37

False positive rate of confirmatory test, (e.g., Western Blot)

C40

Wages: Clerical

C41

Wages: Counselors

Counselor wages determined from prenatal clinic manager.

C42

Wages: Lab technicians

C45

Cost of test kit for initial test (e.g., ELISA or PCR)

ELISA cost from purchasing logs 5/2/00 purchase

C46

Cost of test kit for confirmatory test (e.g., ELISA, Western Blot, PCR)

C47

Cost of one blood draw tube

C48

Average cost of ancillary services per woman who receives them, including services for accompanying male partners

C51

Average registration or other fee collected for each client who registers?

C52

Other client income (per client who registers)

C55

Does this program provide initial screening to identify high-risk women?

C58

Percent who decline initial high-risk screening and therefore drop out of VCT cohort

C59

Minutes required for high-risk screening per woman

C60

Percent of women screened who are considered high risk (therefore eligible for VCT)

C61

Percent of women not considered high risk who were in fact HIV+ (HIV prevalence in women screened out)

C64

Percent of those known to be HIV-infected who decline to register

C65

Percent of those of unknown HIV status who decline to register for VCT

C66

Minutes required to register each woman of known HIV+ status for MTCT

C67

Minutes required to register each woman of unknown HIV status for VCT

C70

Percent of clients (including family members) registered for VCT who receive ancillary services (e.g., meals, transport)

C73

Percent registered for VCT but who do not accept pre-test counseling

C74

Number of women who receive pre-test counseling in one session

C75

Minutes required for pre-test counseling session

C76

Percent of women who completed pre-test counseling but do not accept blood draw for initial test

C77

Minutes required for blood draw

C78

Number of initial tests processed in a batch

C79

Number of minutes of lab technicians' time for each batch of initial tests.

Does this program provide confirmatory tests for those who test positive on the initial test?

Percent of women who test positive on initial test who do not take the confirmatory test

Number of confirmatory tests processed in a batch

Number of minutes of lab technicians’ time for each batch of confirmatory tests.

Number of women HIV- women who receive post-test counseling at a time (in one session)

Minutes required for post-test counseling session for HIV- women

Number of women HIV+ women who receive post-test counseling at a time (in one session)

Minutes required for post-test counseling session for HIV+ women

Percent of women of previously unknown HIV status who completed post-test counseling who do NOT register for MTCT intervention

Percent of women of previously known HIV-positive status who completed post-test counseling but who do NOT register for MTCT intervention

Total supplies: Low-high estimates

Total personnel: Low-high estimates

C117 -
C137

Fixed costs (excluding capital costs)

D143
F143

Fixed costs: Low-high estimates