Total cost (INR) | Number of PWID receiving service | Number of months service provided | Average cost per PWID per year (INR) | Description of program costs | |
---|---|---|---|---|---|
Services under comprehensive package For prevention, treatment, and care Of HIV | |||||
Needle and syringe program (NSP) | 3,834,475 | 2508 | 26 | 705.65 | Needles and syringes, alcohol swabs, waste disposal, ambulance service including driver and fuel costs (proportionate %), proportionate time for ORWs, and monitoring of the NSP. |
OST referral | 86,003 | 105 | 22 | 446.77 | Nurses’ time for counseling |
HIV testing and counselinga | 4,455,294 | 7334 | 32 | 227.81 | All HIV testing using rapid tests at baseline, and 4th generation AgAb tests at FV1 and FV2. HIV testing costs include laboratory cost for testing, phlebotomy costs, personnel costs (nurse) for post-test counseling, and proportionate share of waste disposal costs. |
Referral for ART services and TB testing | 2,611,195 | 1128 | 36 | 771.63 | Nurse’s proportionate time for counseling and referral, proportionate % of ORW time, and travel costs for following up and escorting PWID. |
STI check-up and treatment | 1,395,235 | 792 | 36 | 587.22 | Medications given to patients with symptoms and those who tested positive on laboratory test (including unused inventory), doctors’ and nurses’ time (proportionate %), monitoring services, ORW time, and transport costs (proportionate %) to bring back PWID for results and treatment. |
Condom distribution | 30,800 | 2392 | 26 | 5.94 | Each participant accessing the NSP were offered two condoms at each visit. |
Education and awareness activities | 5,471,834 | 2840 | 26 | 889.25 | Educational film, educational materials for ORWs, community events, street plays, ORW time, travel costs to visit PWID in the community, and cost for procuring educational films from other sources. |
Hepatitis B testing | 1,014,386 | 2331 | 12 | 435.17 | Laboratory test Hepatitis B surface Antigen (HBs Ag), proportionate costs for phlebotomy and sample collection, proportionate time of nurses to provide pre- and post-test counseling, and waste disposal. |
Hepatitis B vaccination | 1,210,284 | 1706 | 26 | 327.43 | Vaccination (vaccine, needle syringe, and alcohol swabs), proportionate time for nurses providing vaccination, proportionate ORW time, and travel costs for locating and reminding PWID to return for their second and third doses, and costs related to monitoring participant follow-up. |
Hepatitis C testing | 5,286,627 | 2330 | 12 | 2,268.94 | Cost for Hepatitis C IgM/IgG Antibody tests and confirmatory RNA PCR tests. Counseling costs have been included in Hepatitis B counseling. |
Abscess care | 2,324,253 | 1219 | 36 | 635.56 | Dressing materials, medications (antibiotics, non-steroid anti-inflammatory drugs, and pain killers), ambulance service including driver and fuel costs, proportionate time for medical officer, nurse, and ORW in the ambulance, and waste disposal. |
Other Essential Services | |||||
Nutrition | 5,756,094 | 3494 | 36 | 549.14 | Lunch packets, tea and biscuits, proportionate time for ORWs |
Hygiene | 722,688 | 2941 | 36 | 81.91 | Bathing kits, proportionate time for ORWs |
Medical consultation | 2,994,704 | 1915 | 36 | 521.27 | Medications and proportionate time for the doctor and nurse. |
In-patient care and referral for detox/rehab | 426,203 | 267 | 22 | 870.69 | Cost of service provided by referral NGO per their rates |