Evidence map›Paper›PMID 29718906›Full record

ArticlePloS one2018

Explaining the heterogeneity in average costs per HIV/AIDS patient in Nigeria: The role of supply-side and service delivery characteristics.

Sergio Bautista-Arredondo, M Arantxa Colchero, Ogbonna O Amanze, Gina La Hera-Fuentes, Omar Silverman-Retana, David Contreras-Loya, Gregory A Ashefor, Kayode M Ogungbemi

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In one paragraph

Article in PloS one, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing 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

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

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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

8 authors.

Sergio Bautista-ArredondoCenter for Health Systems Research, Instituto Nacional de Salud Pública, Cuernavaca, Mexico.
M Arantxa ColcheroCenter for Health Systems Research, Instituto Nacional de Salud Pública, Cuernavaca, Mexico.ORCID 0000-0002-4891-7120
Ogbonna O AmanzeNational Agency for the Control of AIDS, Abuja, Nigeria.
Gina La Hera-FuentesCenter for Health Systems Research, Instituto Nacional de Salud Pública, Cuernavaca, Mexico.
Omar Silverman-RetanaCenter for Health Systems Research, Instituto Nacional de Salud Pública, Cuernavaca, Mexico.
David Contreras-LoyaCenter for Health Systems Research, Instituto Nacional de Salud Pública, Cuernavaca, Mexico.
Gregory A AsheforNational Agency for the Control of AIDS, Abuja, Nigeria.
Kayode M OgungbemiNational Agency for the Control of AIDS, Abuja, Nigeria.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveWe estimated the average annual cost per patient of ART per facility (unit cost) in Nigeria, described the variation in costs across facilities, and identified factors associated with this variation.

methodsWe used facility-level data of 80 facilities in Nigeria, collected between December 2014 and May 2015. We estimated unit costs at each facility as the ratio of total costs (the sum of costs of staff, recurrent inputs and services, capital, training, laboratory tests, and antiretroviral and TB treatment drugs) divided by the annual number of patients. We applied linear regressions to estimate factors associated with ART cost per patient.

resultsThe unit ART cost in Nigeria was $157 USD nationally and the facility-level mean was $231 USD. The study found a wide variability in unit costs across facilities. Variations in costs were explained by number of patients, level of care, task shifting (shifting tasks from doctors to less specialized staff, mainly nurses, to provide ART) and provider´s competence. The study illuminated the potentially important role that management practices can play in improving the efficiency of ART services.

conclusionsOur study identifies characteristics of services associated with the most efficient implementation of ART services in Nigeria. These results will help design efficient program scale-up to deliver comprehensive HIV services in Nigeria by distinguishing features linked to lower unit costs.

Indexed as

Acquired Immunodeficiency SyndromeAnti-HIV AgentsDelivery of Health CareHealth Care CostsHumansNigeriaAnti-HIV Agents

Identifiers

PMID29718906
PMCPMC5931468

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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.