Research Article

Resource Utilization and Costs of Care prior to ART Initiation for Pediatric Patients in Zambia

Table 2

Resource utilization and costs of care during the 6 months prior to treatment initiation for pediatric ART patients in Zambia.

Patients with ≤2 clinic visits prior to ART initiationPatients with >2 clinic visits prior to ART initiation valueAll patients

(%)511 (61)321 (39)832 (100)
Days to ART initiation, median [IQR]17 [10–29]43
28–83
<0.000126
14–48
Resource utilization
 Clinic visits, mean (95% CI)1.56
(1.51–1.60)
3.69
(3.56–3.81)
<0.00012.38
(2.29–2.47)
 CD4 tests, mean (95% CI)0.67
(0.62–0.71)
1.05
(0.98–1.11)
<0.00010.81
(0.77–0.85)
 Full blood count tests, mean (95% CI)0.56
(0.51–0.61)
1.03
(0.96–1.11)
<0.00010.74
(0.70–0.79)
 Blood chemistry tests, mean (95% CI)*0.48
(0.44–0.52)
0.49
(0.44–0.55)
0.800.49
(0.45–0.52)
Cost per patient in 2011 USD, mean (95% CI)17
(16–18)
25
(23–26)
<0.000120
(19–21)

ART: antiretroviral therapy; USD: United States dollar.
A blood chemistry test could include any combination of the following tests: alanine aminotransferase, aspartate aminotransferase, creatinine, glucose, protein, urea, total bilirubin, and direct bilirubin tests.