Addressing two key research questions is the focus of this investment:
- What is the cost and cost-effectiveness of a comprehensive, effective HIV package for key populations?
- How can the cost-effectiveness of KP programming be routinely monitored over time?
Thus, the overarching objective of this proposal is twofold: To produce robust estimates of the economic costs of HIV services for key populations (KP), comprehensively considering the programs’ key elements; and to develop and validate a tool to routinely assess the costs of HIV services for KP delivered through the. We will estimate unit expenditure and unit costs estimates of HIV services for KP in two countries with a focus on USAID’s LINKAGES (Linkages Across the Continuum of HIV Services for Key Populations Affected by HIV) program in Malawi and Kenya. We will compare and validate these estimations through an iterative process, which we describe below. Our prospective unit expenditure estimations will rely on the LEO (Linking Expenditures to Outputs) methodology, whereas the unit cost estimations will rely on a hybrid approach that combines prospective and retrospective data collection with micro-costing methods, ingredient-based costing, and activity-based costing. The results of this work will inform resource allocation efforts, policy initiatives, and program design and improvement.