Evidence map›Paper›PMID 27881282›Full record

ArticleValue in health regional issues2016

Measuring and Valuing Informal Care for Economic Evaluation of HIV/AIDS Interventions: Methods and Application in Malawi.

Levison S Chiwaula, Paul Revill, Deborah Ford, Misheck Nkhata, Travor Mabugu, James Hakim, Cissy Kityo, Adrienne K Chan, Fabian Cataldo, Diana Gibb and 2 more

Abstract read
In one paragraph

Article in Value in health regional issues, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

Levison S ChiwaulaDignitas International, Zomba, Malawi; Department of Economics, University of Malawi, Zomba, Malawi. Electronic address: lschiwaula@cc.ac.mw.
Paul RevillCentre for Health Economics, University of York, York, UK.
Deborah FordMRC Clinical Trials Unit at UCL, London, UK.
Misheck NkhataDignitas International, Zomba, Malawi.
Travor MabuguUniversity of Zimbabwe Clinical Research Centre, Harare, Zimbabwe.
James HakimUniversity of Zimbabwe Clinical Research Centre, Harare, Zimbabwe.
Cissy KityoJoint Clinical Research Centre, Kampala, Uganda.
Adrienne K ChanDignitas International, Zomba, Malawi; Division of Infectious Diseases, Department of Medicine, Sunnybrook Health Sciences Centre, University of Toronto, Toronto, Ontario, Canada.
Fabian CataldoDignitas International, Zomba, Malawi.
Diana GibbMRC Clinical Trials Unit at UCL, London, UK.
Bernard van den BergFaculty of Economics and Business, University of Groningen, Groningen, The Netherlands.
Lablite Project Team

Funding

Medical Research Council MC_UU_12023/23Medical Research Council MC_UU_12023/26
6 · The paper itself

Abstract

backgroundEconomic evaluation studies often neglect the impact of disease and ill health on the social network of people living with HIV (PLHIV) and the wider community. An important concern relates to informal care requirements which, for some diseases such as HIV/AIDS, can be substantial.

objectivesTo measure and value informal care provided to PLHIV in Malawi.

methodsA modified diary that divided a day into natural calendar changes was used to measure informal care time. The monetary valuation was undertaken by using four approaches: opportunity cost (official minimum wage used to value caregiving time), modified opportunity cost (caregiver's reservation wage), willingness to pay (amount of money caregiver would pay for care), and willingness to accept (amount of money caregiver would accept for providing care to someone else) approaches. Data were collected from 130 caregivers of PLHIV who were accessing antiretroviral therapy from six facilities in Phalombe district in southeast Malawi.

resultsOf the 130 caregivers, 62 (48%) provided informal care in the survey week. On average, caregivers provided care of 8 h/wk. The estimated monetary values of informal care provided per week were US $1.40 (opportunity cost), US $2.41 (modified opportunity cost), US $0.40 (willingness to pay), and US $2.07 (willingness to accept).

conclusionsExclusion of informal care commitments may be a notable limitation of many applied economic evaluations. This work demonstrates that inclusion of informal care in economic evaluations in a low-income context is feasible.

Indexed as

Health Care CostsAcquired Immunodeficiency SyndromeCaregiversCost-Benefit AnalysisHumansMalawiPatient CareAfricacost-effectivenesseconomic evaluationHIV/AIDSinformal care

Identifiers

PMID27881282
PMCPMC5724751

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.