Table 5

Total costs of HIV self-test kit distribution by country (2019 US$)

CountryZambiaZimbabweMalawiSouth Africa
Distribution
PrimarySecondaryPrimarySecondarySecondary
Capital costs
 Training$3435$1118$807$83$5584$1049
 Sensitisation$653$119$211$22$583$740
 Building and storage$1441$2771$191$17$233$886
 Equipment$2225$1311$77$8$136$1827
 Other start-up costs$161
Recurrent costs
 Personnel$11 685$6596$4216$398$8511$79 837
 Supplies$3472$167$714$74$891$9236
 Test kits$63 223$11 507$2672$275$8975$20 792
 Transport$1772$323$637$66$2352$244
 Recurrent training$4044$1600
 Building operation and maintenance$3023$1107$272$27$3009$7292
 Waste management$1052$169$30$19
 mHealth$2492
 Other recurrent$3929$756$681$70$105
Total $99 954 $27 544 $10 508 $1059 $30 379 $124 556
Total kits distributed23 4164262113711735069282
Facilities/country*3322188
Average kits distributed/facility78051421569591951060
Cost/kit $4.27 $6.46 $9.24 $9.05 $8.66 $13.42
Facility-level cost/kit (min–max)$4.17–$35.64N/A$4.67–$17.40$4.59–$132.00
  • *Primary and secondary distribution in Zambia and Zimbabwe was done in the same clinics; therefore, our analysis was conducted in a total of 31 clinics even though we have 36 observations.