Sebastian Kevany

Cost, cost-efficiency and cost-effectiveness of integrated family planning and HIV services.

Objective:To evaluate costs, cost-efficiency and cost-effectiveness of integration of family planning into HIV services. Intervention:Integration of family planning services into HIV care and treatment clinics. Design:A cluster-randomized trial. Setting:Twelve health facilities in Nyanza, Kenya were randomized to integrate family planning into HIV care and treatment; six health facilities were randomized to (nonintegrated) standard-of-care with separately delivered family planning and HIV services. Main outcome measures:We assessed costs, cost-efficiency (cost per additional use of more effective family planning), and cost-effectiveness (cost per pregnancy averted) associated with the first year of integration of family planning into HIV care. More effective family planning methods included oral and injectable contraceptives, subdermal implants, intrauterine device, and female and male sterilization. Patients and participants:We collected cost data through interviews with study staff and review of financial records to determine costs of service integration. Results:Integration of services was associated with an average marginal cost of

Global Health Diplomacy, ‘Smart Power’, and the New World Order

841 per site and

Socio-economic status and health care utilization in rural Zimbabwe: findings from Project Accept (HPTN 043).

48 per female patient. Average overall and marginal costs of integration were associated with personnel costs [initial (

Clinical and financial burdens of secondary level care in a public sector antiretroviral roll-out setting (G. F. Jooste Hospital).

1003 vs.

Improving resource allocation decisions for health and HIV programmes in South Africa: Bioethical, cost-effectiveness and health diplomacy considerations

872) and refresher (

Diplomatic and operational adaptations to global health programmes in post-conflict settings: contributions of monitoring and evaluation systems to health sector development and ‘nation-building’ in South Sudan

498 vs.

Global health diplomacy in Iraq: international relations outcomes of multilateral tuberculosis programmes.

330) training, mentoring (

Global Health Diplomacy Investments in Afghanistan: Adaptations and Outcomes of Global Fund Malaria Programs

1175 vs.

Diplomatic advantages and threats in global health program selection, design, delivery and implementation: development and application of the Kevany Riposte

902) and supervision (

Case management to improve adherence for HIV-infected patients receiving antiretroviral therapy in Ethiopia: A micro-costing study

1694 vs.