Cost-effectiveness analysis of a two-way texting (2wT) intervention to improve ART retention among newly-initiated antiretroviral therapy clients in Malawi
Christine Kiruthu-Kamamia, Hiwot Weldemariam, Mirriam Chipanda, Jacqueline Huwa, Johnnie Seyani, Harrison Chirwa, Aubrey Kudzala, Agnes Thawani, Joseph Chintedza, Odala Sande, Geldert Chiwaya, Hannock Tweya, Milena Pavlova, Wim Groot, Caryl Feldacker · 2024
Read Cost-effectiveness analysis of a two-way texting (2wT) intervention to improve ART retention among newly-initiated antiretroviral therapy clients in Malawi by Christine Kiruthu-Kamamia, Hiwot Weldemariam, Mirriam Chipanda, Jacqueline Huwa, Johnnie Seyani, Harrison Chirwa, Aubrey Kudzala, Agnes Thawani, Joseph Chintedza, Odala Sande, Geldert Chiwaya, Hannock Tweya, Milena Pavlova, Wim Groot, Caryl Feldacker (2024) in the Tower of Babel, a free online library of public-domain works preserved in clean, searchable text. No sign-up. The full text is served as a plain-text file at a predictable URL, where text is present: https://antarctic-labs.com/tower-of-babel/pmc-11936329.txt.
Description
Kiruthu-Kamamia and co-authors price a texting service that keeps HIV patients coming back for care in Malawi. The service sends visit reminders and weekly encouragement, and lets clients text health workers directly. The team compared 468 users with 468 clients on standard care at one Lilongwe center.
After a year, 79 percent of texting clients stayed in care, against 67 percent on standard care. At that small scale the service cost more per client kept. But the math flips with size: serving every new patient at the center would save money per point of retention, and spreading to four more busy sites could save far more. Texting, the authors argue, earns its place in HIV programs.
Catalog record
| CREATOR | Christine Kiruthu-Kamamia, Hiwot Weldemariam, Mirriam Chipanda, Jacqueline Huwa, Johnnie Seyani, Harrison Chirwa, Aubrey Kudzala, Agnes Thawani, Joseph Chintedza, Odala Sande, Geldert Chiwaya, Hannock Tweya, Milena Pavlova, Wim Groot, Caryl Feldacker |
|---|---|
| YEAR | 2024 |
| COLLECTION | PAPERS |
| FORMAT | TXT |
| FILE SIZE | 51 KB |
| VERSION | 1.0 |
| LICENSE | CC BY 4.0 |
| RIGHTS | CC BY |
| SOURCE | Europe PMC |