Research Article

Estimating the cost and efficiency gain of rolling out a multi-month dispensing programme for antiretroviral treatment in Tanzania

Published in: African Journal of AIDS Research
Volume 21 , issue 4 , 2022 , pages: 385–390

DOI: 10.2989/16085906.2022.2133619

Author(s): George Ruhago Muhimbili University of Health and Allied Sciences, Tanzania , Steven Forsythe , USA , Roland Van de Ven , USA , Louis Apicella , USA

Keywords: ARV , cost-outcomes analysis , differentiated service delivery model , HIV/AIDS , MMD , projections

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Abstract

Background: Globally, efforts to curtail the HIV pandemic are growing. The Joint United Nations Programme on HIV and AIDS (UNAIDS) and partners set the 95-95-95 targets to be achieved by 2025. Tanzania’s ongoing transition from single-month ARV to longer multi-month dispensing (MMD) involves significant planning and shifts in existing resources, including health commodities, clinical staff and storage space. This study aimed at evaluating the costs and efficiency gains of rolling out MMD compared to the prior monthly dispending (MD) standard of care before the new guidelines.

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