title: Cost of community integrated prevention campaign for malaria, HIV, and diarrhea in rural Kenya.
abstract: BACKGROUND
  Delivery of community-based prevention services for HIV, malaria, and diarrhea is a major priority and challenge in rural Africa. Integrated delivery campaigns may offer a mechanism to achieve high coverage and efficiency.
  
  
  METHODS
  We quantified the resources and costs to implement a large-scale integrated prevention campaign in Lurambi Division, Western Province, Kenya that reached 47,133 individuals (and 83% of eligible adults) in 7 days. The campaign provided HIV testing, condoms, and prevention education materials; a long-lasting insecticide-treated bed net; and a water filter. Data were obtained primarily from logistical and expenditure data maintained by implementing partners. We estimated the projected cost of a Scaled-Up Replication (SUR), assuming reliance on local managers, potential efficiencies of scale, and other adjustments.
  
  
  RESULTS
  The cost per person served was $41.66 for the initial campaign and was projected at $31.98 for the SUR. The SUR cost included 67% for commodities (mainly water filters and bed nets) and 20% for personnel. The SUR projected unit cost per person served, by disease, was $6.27 for malaria (nets and training), $15.80 for diarrhea (filters and training), and $9.91 for HIV (test kits, counseling, condoms, and CD4 testing at each site).
  
  
  CONCLUSIONS
  A large-scale, rapidly implemented, integrated health campaign provided services to 80% of a rural Kenyan population with relatively low cost. Scaling up this design may provide similar services to larger populations at lower cost per person.
authors.affiliation: Super Models for Global Health, Oakland, California, USA. jgkahn@ucsf.edu
authors.forename: James G
authors.initials: JG
authors.lastname: Kahn
authors.forename: Brian
authors.initials: B
authors.lastname: Harris
authors.forename: Jonathan H
authors.initials: JH
authors.lastname: Mermin
authors.forename: Thomas
authors.initials: T
authors.lastname: Clasen
authors.forename: Eric
authors.initials: E
authors.lastname: Lugada
authors.forename: Mark
authors.initials: M
authors.lastname: Grabowksy
authors.forename: Mikkel
authors.initials: M
authors.lastname: Vestergaard Frandsen
authors.forename: Navneet
authors.initials: N
authors.lastname: Garg
mesh_terms: D003159:Community-Institutional Relations; D019033:Delivery of Health Care, Integrated / Q000191:economics*; D003967:Diarrhea / Q000191:economics / Q000517:prevention & control*; D015658:HIV Infections / Q000191:economics / Q000517:prevention & control*; D006265:Health Care Coalitions; D006293:Health Promotion / Q000191:economics / Q000379:methods*; D006801:Humans; D007630:Kenya; D008288:Malaria / Q000517:prevention & control*; D012424:Rural Population