Background:
With an estimated sixty four thousand people living with
HIV in Nepal, there are tremendous implications for children,
whose lives are greatly affected when a parent is infected.
The objective of this study is to identify and assess cost
effectiveness for existing models of care for children affected
with HIV/AIDS
Methods:
The study performed cost effective analysis for types of
care and support for children affected by HIV and AIDS in
Nepal from a societal perspective. Types of care and support
to Children affected by HIV/AIDS were assessed,
Comparator minimum was estimated based on government
minimum standards guideline; comparative analysis for cost
effectiveness was done in terms of care quality, and overall
modes of care delivery.
Results:
This study identified only three types of care model
(comprehensive institutional model of care, home based care
and support, community based care with income generation)
prevalent in Nepal. Out of this three types of models of care:
Community based care with income generation was
assessed as the most cost effective care model in Nepal.
Conclusion:
Community based care with income generation imparted
children with better socialization and professional skills.
However, continuum of care was often missed by one model,
therefore other existing models of child care were also
essential to provide care and provision of safety nets for
children who fail to reach the care homes should also be
considered by the government.