The Incremental Cost of Delivering PrEP as a Bridge to ART for HIV Serodiscordant Couples in Public HIV Care Clinics in Kenya

Table 3

Annual incremental cost of adding a PrEP component for HIV uninfected partners in HIV serodiscordant relationships to the current ART program.

Type of cost	As studied less research and current care costs		With Ministry of Health costs
	For couples	Per couple	For couples	Per couple
Personnel	$70,723.85	$48.97	$51,000.00	$35.31
Medication	$303,271.22	$210.00	$48,378.98	$33.50
Laboratory tests	$37,186.83	$25.75	$18,051.86	$12.50
Supplies	$2,793.72	$1.93	$2,514.35	$1.74
Building and Vehicle costs	$1,200.00	$0.83	$1,200.00	$0.83
Recruitment activities	$25,957.00	$17.97	$3,875.00	$2.68
Start up activities	$422.77	$0.29	$317.97	$0.22
Total cost (US $)	$441,555.40	$305.75	$125,338.15	$86.79

We estimate that an HIV care clinic can enroll 1444 HIV serodiscordant couples into the integrated PrEP and ART program in a year.