Related Experiment Video
Updated: Dec 3, 2025
Comprehensive & Cost Effective Laboratory Monitoring of HIV/AIDS: an African Role Model
Published on: October 31, 2010
Comparison of the costs of HPV testing through community health campaigns versus home-based testing in rural Western
Easter Elizabeth Olwanda1, James G Kahn2,3, Yujung Choi4,5
1Center for Microbiology Research, Kenya Medical Research Institute, Nairobi, Kenya eolwanda@gmail.com.
Objectives:
To estimate the cost of human papillomavirus (HPV)-based screening through community health campaigns (CHCs) and home-based testing.
Setting:
CHCs and home-based testing in six communities in rural Western Kenya.
Participants:
CHCs and home-based screening reached 2297 and 1002 women aged 25-65 years, respectively.
Outcome Measures:
Outcome measures were overall cost per woman screened achieved through the CHCs and home-based testing and the cost per woman for each activity comprising the screening intervention.
Results:
The mean cost per woman screened through CHCs and home-based testing were similar, at $37.7 (range $26.4-$52.0) and $37.1 (range $27.6-$54.0), respectively. For CHCs, personnel represented 49% of overall cost, supplies 25%, services 5% and capital goods 23%. For home-based testing, these were: personnel 73%, supplies 25%, services 1% and capital goods 2%. A greater number of participants was associated with a lower cost per participant.
Conclusions:
The mean cost per woman screened is comparable for CHC and home-based testing, with differences in type of input. The CHCs generally reached more eligible women in the six communities, whereas home-based strategies more efficiently reached populations with low screening rates.
Trial Registration Number:
NCT02124252.
Related Concept Videos
01:30Primary Healthcare Services
In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call...
01:26Methods Of Healthcare Delivery System
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...