Costs analysis of integrating group interpersonal therapy into HIV care services in Senegal
Abstract Introduction Group Interpersonal Therapy (IPT), an evidence-based treatment of depression recommended by the WHO mhGAP Intervention Guide, was implemented through a task-shifting approach in Senegal, as a treatment for depressed people living with HIV (PLWH). Since a description of the reso...
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BMC
2025-01-01
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| Series: | International Journal of Mental Health Systems |
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| Online Access: | https://doi.org/10.1186/s13033-024-00654-6 |
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| author | Yao Abounan Jérôme Wittwer Judicaël Malick Tine Ibrahima Ndiaye Salaheddine Ziadeh Sophie Desmonde Hélène Font Helen Verdeli Ndeye Fatou Ngom Nathalie de Rekeneire Antoine Jaquet Moussa Seydi Charlotte Bernard the IeDEA West Africa Cohort Collaboration |
| author_facet | Yao Abounan Jérôme Wittwer Judicaël Malick Tine Ibrahima Ndiaye Salaheddine Ziadeh Sophie Desmonde Hélène Font Helen Verdeli Ndeye Fatou Ngom Nathalie de Rekeneire Antoine Jaquet Moussa Seydi Charlotte Bernard the IeDEA West Africa Cohort Collaboration |
| author_sort | Yao Abounan |
| collection | DOAJ |
| description | Abstract Introduction Group Interpersonal Therapy (IPT), an evidence-based treatment of depression recommended by the WHO mhGAP Intervention Guide, was implemented through a task-shifting approach in Senegal, as a treatment for depressed people living with HIV (PLWH). Since a description of the resources used and the implementation costs incurred is necessary to inform policymakers better, this study aimed to estimate the costs associated with its implementation. Methods Intervention costs were analyzed using an “ingredients-based costing approach” from the provider’s perspective. We identified and described the start-up and implementation costs for the initial phase and a projection over 5 years (implementation at capacity). We estimated total annual costs and cost per beneficiary. We conducted a scenario analysis to highlight some cost uncertainties and their impacts. Results The total annual costs were estimated at $4064 for the initial phase and $8161 for the implementation at capacity. The training was the main cost driver representing approximately 60% of the total annual costs. The cost per beneficiary receiving group IPT was estimated at $65 for the implementation at capacity. The scenario analysis also illustrated the importance of parameters like the screening strategy, training activities, and allocation to cover transport costs mobilized by participants. Conclusion This cost analysis highlighted the costs and cost allocations required to implement group IPT in Senegal to treat depression in PLWH. This preliminary work should enable policymakers to identify the optimal resources to be mobilized to implement and ensure the sustainability of this therapy in HIV at a country-level program. |
| format | Article |
| id | doaj-art-cfc5f50793dc48ba939250076bca7b4d |
| institution | Kabale University |
| issn | 1752-4458 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | BMC |
| record_format | Article |
| series | International Journal of Mental Health Systems |
| spelling | doaj-art-cfc5f50793dc48ba939250076bca7b4d2025-01-19T12:10:50ZengBMCInternational Journal of Mental Health Systems1752-44582025-01-011911910.1186/s13033-024-00654-6Costs analysis of integrating group interpersonal therapy into HIV care services in SenegalYao Abounan0Jérôme Wittwer1Judicaël Malick Tine2Ibrahima Ndiaye3Salaheddine Ziadeh4Sophie Desmonde5Hélène Font6Helen Verdeli7Ndeye Fatou Ngom8Nathalie de Rekeneire9Antoine Jaquet10Moussa Seydi11Charlotte Bernard12the IeDEA West Africa Cohort CollaborationUniversity of Bordeaux, National Institute for Health and Medical Research (INSERM) UMR 1219, Research Institute for Sustainable Development (IRD) EMR 271, Bordeaux Population Health CentreUniversity of Bordeaux, National Institute for Health and Medical Research (INSERM) UMR 1219, Research Institute for Sustainable Development (IRD) EMR 271, Bordeaux Population Health CentreService des Maladies Infectieuses et Tropicales, CHNU de FannService de Psychiatrie, CHNU de FannGlobal Mental Health Lab, Teachers College, Columbia UniversityCERPOP, Inserm UMR 1295, Université Toulouse 3University of Bordeaux, National Institute for Health and Medical Research (INSERM) UMR 1219, Research Institute for Sustainable Development (IRD) EMR 271, Bordeaux Population Health CentreGlobal Mental Health Lab, Teachers College, Columbia UniversityCentre de Traitement Ambulatoire, CHNU de FannInstitut Pasteur du CambodgeUniversity of Bordeaux, National Institute for Health and Medical Research (INSERM) UMR 1219, Research Institute for Sustainable Development (IRD) EMR 271, Bordeaux Population Health CentreService des Maladies Infectieuses et Tropicales, CHNU de FannUniversity of Bordeaux, National Institute for Health and Medical Research (INSERM) UMR 1219, Research Institute for Sustainable Development (IRD) EMR 271, Bordeaux Population Health CentreAbstract Introduction Group Interpersonal Therapy (IPT), an evidence-based treatment of depression recommended by the WHO mhGAP Intervention Guide, was implemented through a task-shifting approach in Senegal, as a treatment for depressed people living with HIV (PLWH). Since a description of the resources used and the implementation costs incurred is necessary to inform policymakers better, this study aimed to estimate the costs associated with its implementation. Methods Intervention costs were analyzed using an “ingredients-based costing approach” from the provider’s perspective. We identified and described the start-up and implementation costs for the initial phase and a projection over 5 years (implementation at capacity). We estimated total annual costs and cost per beneficiary. We conducted a scenario analysis to highlight some cost uncertainties and their impacts. Results The total annual costs were estimated at $4064 for the initial phase and $8161 for the implementation at capacity. The training was the main cost driver representing approximately 60% of the total annual costs. The cost per beneficiary receiving group IPT was estimated at $65 for the implementation at capacity. The scenario analysis also illustrated the importance of parameters like the screening strategy, training activities, and allocation to cover transport costs mobilized by participants. Conclusion This cost analysis highlighted the costs and cost allocations required to implement group IPT in Senegal to treat depression in PLWH. This preliminary work should enable policymakers to identify the optimal resources to be mobilized to implement and ensure the sustainability of this therapy in HIV at a country-level program.https://doi.org/10.1186/s13033-024-00654-6DepressionGroup interpersonal therapyCost analysesSub-Saharan AfricaHIV |
| spellingShingle | Yao Abounan Jérôme Wittwer Judicaël Malick Tine Ibrahima Ndiaye Salaheddine Ziadeh Sophie Desmonde Hélène Font Helen Verdeli Ndeye Fatou Ngom Nathalie de Rekeneire Antoine Jaquet Moussa Seydi Charlotte Bernard the IeDEA West Africa Cohort Collaboration Costs analysis of integrating group interpersonal therapy into HIV care services in Senegal International Journal of Mental Health Systems Depression Group interpersonal therapy Cost analyses Sub-Saharan Africa HIV |
| title | Costs analysis of integrating group interpersonal therapy into HIV care services in Senegal |
| title_full | Costs analysis of integrating group interpersonal therapy into HIV care services in Senegal |
| title_fullStr | Costs analysis of integrating group interpersonal therapy into HIV care services in Senegal |
| title_full_unstemmed | Costs analysis of integrating group interpersonal therapy into HIV care services in Senegal |
| title_short | Costs analysis of integrating group interpersonal therapy into HIV care services in Senegal |
| title_sort | costs analysis of integrating group interpersonal therapy into hiv care services in senegal |
| topic | Depression Group interpersonal therapy Cost analyses Sub-Saharan Africa HIV |
| url | https://doi.org/10.1186/s13033-024-00654-6 |
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