EUROPEAN JOURNAL OF
PHARMACEUTICAL AND MEDICAL RESEARCH

( An ISO 9001:2015 Certified International Journal )

An International Peer Reviewed Journal for Pharmaceutical, Medical & Biological Sciences

An Official Publication of Society for Advance Healthcare Research (Reg. No. : 01/01/01/31674/16)

European Journal of Pharmaceutical and Medical Research (EJPMR) has indexed with various reputed international bodies like : Google Scholar , Indian Science Publications , InfoBase Index (In Process) , SOCOLAR, China , Research Bible, Fuchu, Tokyo. JAPAN , International Society for Research activity (ISRA) , Scientific Indexing Services (SIS) , Polish Scholarly Bibliography , Global Impact Factor (GIF) (Under Process) , Universal Impact Factor , International Scientific Indexing (ISI), UAE  , Index Copernicus , CAS (A Division of American Chemical Society) USA (Under Process) , Directory of Open Access Journal (DOAJ, Sweden, in process) , UDLedge Science Citation Index , CiteFactor , Directory Of Research Journal Indexing (DRJI) , Indian citation Index (ICI) , Journal Index (JI, Under Process) , Directory of abstract indexing for Journals (DAIJ) , Open Access Journals (Under Process) , Impact Factor Services For International Journals (IFSIJ) , Cosmos Impact Factor , Jour Informatics (Under Process) , Eurasian Scientific Journal Index (ESJI) , International Innovative Journal Impact Factor (IIJIF) , Science Library Index, Dubai, United Arab Emirates , Pubmed Database [NLM ID: 101669306] (Under Process) , IP Indexing (IP Value 2.40) , Web of Science Group (Under Process) , Directory of Research Journals Indexing , Scholar Article Journal Index (SAJI) , International Scientific Indexing ( ISI ) , Scope Database , Academia , 

 ISSN 2394-3211

Impact Factor: 7.065

 ICV - 79.57

Abstract

COST EFFECTIVENESS ON HIV TESTING AND COUNSELLING SERVICE DELIVERY STRATEGIES IN NAMIBIA

*Haoses-Gorases L., Goraseb M. and I. Pietersen

ABSTRACT

HIV Testing and Counselling (HTC) remains an important entry point to HIV prevention, treatment, care and support services. Despite the expansion of HTC service delivery strategies over the years no systematic cost and effectiveness analysis has been conducted in Namibia to inform the efficient use of the available limited resources. The study aimed to determining the costs and effectiveness of delivering different HCT service delivery strategies in Namibia to inform program implementation and efficient resource utilization. The study design was quantitative retrospective as well as descriptive. The results have shown that 72% of the HIV tests reported to the Ministry of Health and Social Services were conducted at Public Health Facilities (PHF). The highest HIV positivity rate of 21% was identified at work places, followed by PHF with 9%, and 5% for National Testing Day (NTD). The cost analysis show that the main cost drivers for Standalones and workplaces are salaries and fringe benefits for staff with 52% and 58% respectively. Whereas for Public Health facilities and National Testing days cost drivers are recurrent goods expenditures with 41% and 74% respectively. Public Health facilities present the best strategy to reach more clientele and were effective in identifying HIV infected people at a lower cost however there is a need to complement or strengthen this strategy with other service delivery strategies whose efficiency needs to be strengthened.

Keywords: Cost effectiveness, HIV testing, Counseling, Service Delivery Strategies.


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Google Scholar Indian Science Publications InfoBase Index (In Process) SOCOLAR, China Research Bible, Fuchu, Tokyo. JAPAN International Society for Research activity (ISRA) Scientific Indexing Services (SIS) Polish Scholarly Bibliography Global Impact Factor (GIF) (Under Process) Universal Impact Factor International Scientific Indexing (ISI), UAE Index Copernicus CAS (A Division of American Chemical Society) USA (Under Process) Directory of Open Access Journal (DOAJ, Sweden, in process) UDLedge Science Citation Index CiteFactor Directory Of Research Journal Indexing (DRJI) Indian citation Index (ICI) Journal Index (JI, Under Process) Directory of abstract indexing for Journals (DAIJ) Open Access Journals (Under Process) Impact Factor Services For International Journals (IFSIJ) Cosmos Impact Factor Jour Informatics (Under Process) Eurasian Scientific Journal Index (ESJI) International Innovative Journal Impact Factor (IIJIF) Science Library Index, Dubai, United Arab Emirates Pubmed Database [NLM ID: 101669306] (Under Process) IP Indexing (IP Value 2.40) Web of Science Group (Under Process) Directory of Research Journals Indexing Scholar Article Journal Index (SAJI) International Scientific Indexing ( ISI ) Scope Database Academia