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Table 1 Basic information for VMMC intervention

From: Cost and cost-effectiveness of voluntary medical male circumcision in street-connected youth: findings from an education-based pilot intervention in Eldoret, Kenya

  Pilot data Source
Parameters used in the VMMC intervention
 Costing year
  Group 1 2016, December  
  Group 2 2017, May  
  Group 3 2017, May  
 Eligibility criteria 14–24 years; “street-connected”a  
 Total SCY recruited 116  
 Total VMMCs completed 116  
 Personnel salaries (daily rate)b
  AMPATH staff
   CO, nurse and social worker $9.69  
   Peer navigators $4.85  
   PITC counsellor $7.27  
  Volunteers
   PITC counsellor, nurse, nurse assistant, mentors, helpers, cooks $9.69  
   Security guard $14.53  
 Direct procedure costs per individual (% total cost) $8.57 (7.9)  
 Procedure support costs per individual (% total cost) $83.53 (77.3)  
 Education cost per individual (% total cost) $14.07 (13.0)  
 Direct research cost per individual (% total cost) $1.81 (1.6)  
 Other information
  Exchange rate
   KES/$ [Dec 1, 2016–May 31, 2017] 103.2 41
  Base value [range] Source
Parameters used to calculate cost per DALY averted
 Male circumcision prevalence in Kenya, age 10–19 (%) 54.8 [40–100] 1, 44, 46
 VMMC direct procedure cost, $ per circumcision 8.57 [8.57–108] Pilot data; 44, 27, 49
 Annual discount rate (%) 3.00 [1–5] 47
 HIV incidence—Nyanza County, 2015 (%) 2.0 2
 HIV prevalence in males 15–24 years (%) 3.12 2
 Adolescent male population in Kenya, 2020 estimatesc
  Male SCY 149,100 7, KNBS
  10–14 years (thousands) 3242.92 KNBS
  10–19 years (thousands) 6063.25 KNBS
  10–29 years (thousands) 10,473.17 KNBS
 DALYs/HIV infection averted 7 20, 43
  1. If no source is listed then values reflect VMMC pilot data
  2. SCY street-connected youth, VMMC voluntary medical male circumcision
  3. aYouth were considered street-connected if (a) they were spending both days and nights on the streets and had limited-to-no guardian contact, (b) were spending a portion or majority of their time on the street and had a caregiver to whom they returned at night, or (c) a combination of these situations at different times
  4. bCO: clinical officer; PITC: Provider-Initiated Testing and Counselling
  5. cKenya National Bureau of Statistics; http://kenya.opendataforafrica.org/lpdtibb/kenya-population-by-age-groups
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