Assessing the cost implications of integrating and scaling up HIV services for key populations in Kenya and Malawi

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dc.contributor.authorAndrea Salas-Ortiz
dc.contributor.authorMarjorie Opuni
dc.contributor.authorFigueroa ,José Luis
dc.contributor.authorSánchez-Morales,Jorge Eduardo
dc.contributor.authorBanda, Louis Masankha
dc.contributor.authorOlawo, alice
dc.contributor.authorMunthali, Spy
dc.contributor.authorKorir, julius k.
dc.contributor.authorMeghan DiCarlo
dc.contributor.authorSergio Bautista-Arredondo
dc.date.accessioned2025-12-18T07:57:38Z
dc.date.available2025-12-18T07:57:38Z
dc.date.issued2025-10
dc.descriptionResearch Article
dc.description.abstractimited research has been conducted on strategies to improve the efficiency of HIV services for key populations (KPs). This study investigates ways to enhance healthcare delivery efficiency, focusing on HIV services for KPs. We explore two strategies: expanding service volume and offering multiple HIV services within a single health facility. Using data from the Linkages Across the Continuum of HIV Services for Key Populations Affected by HIV (LINKAGES) program in Kenya and Malawi, we exploit the variation in services provided to assess correlations between different service delivery configurations and their costs. We apply log-log fixed-effects regression models to analyze relationships between the total costs of four HIV services and the volume and range of services delivered. We find that service volume increases correlate with higher total costs, albeit less than proportionally, consistent with possible economies of scale. Negative correlations between service integration and total costs suggest that integrating HIV services for KPs could lead to reduced total costs for some service combinations. These results indicate potential strategies to increase the efficiency of HIV services for KPs, which can inform strategic planning and program execution in Kenya, Malawi, and similar countries
dc.identifier.citationSalas-Ortiz, A., Opuni, M., Figueroa, J. L., Sánchez-Morales, J. E., Banda, L. M., Olawo, A., Munthali, S., Korir, J., DiCarlo, M., & Bautista-Arredondo, S. (2025). Assessing the cost implications of integrating and scaling up HIV services for key populations in Kenya and Malawi. Health Policy and Planning, 00(0), 1–8. https://doi.org/10.1093/heapol/czaf067
dc.identifier.otherhttps://doi.org/10.1093/heapol/czaf067
dc.identifier.urihttps://ir-library.ku.ac.ke/handle/123456789/31987
dc.language.isoen
dc.publisherOxford University Press
dc.titleAssessing the cost implications of integrating and scaling up HIV services for key populations in Kenya and Malawi
dc.typeArticle
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