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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