Abstract Background Delivery of community-based prevention services for HIV, malaria, and diarrhea is a major priority and challenge in rural Africa.Integrated delivery campaigns may offer a mechanism to achieve high coverage and efficiency.Methods We quantified the resources and costs to implement a large-scale integrated prevention campaign in Lurambi Division, Western Province, Kenya that Formation of China’s Capital Market reached 47,133 individuals (and 83% of eligible adults) in 7 days.The campaign provided HIV testing, condoms, and prevention education materials; a long-lasting insecticide-treated bed net; and a water filter.Data were obtained primarily from logistical and expenditure data maintained by implementing partners.
We estimated the projected cost of a Scaled-Up Replication (SUR), assuming reliance on local managers, potential efficiencies of scale, and other adjustments.Results The cost per person served was Construction of community life circle database based on high-resolution remote sensing technology and multi-source data fusion $41.66 for the initial campaign and was projected at $31.98 for the SUR.The SUR cost included 67% for commodities (mainly water filters and bed nets) and 20% for personnel.
The SUR projected unit cost per person served, by disease, was $6.27 for malaria (nets and training), $15.80 for diarrhea (filters and training), and $9.91 for HIV (test kits, counseling, condoms, and CD4 testing at each site).Conclusions A large-scale, rapidly implemented, integrated health campaign provided services to 80% of a rural Kenyan population with relatively low cost.
Scaling up this design may provide similar services to larger populations at lower cost per person.