Cost-effectiveness of community-based strategies to strengthen the continuum of HIV care in rural South Africa: a health economic modelling analysis

Key Points

• This analysis evaluates the health effects and cost-effectiveness of community-based HIV testing compared to facility-based approaches.
• Conducted a health economic modelling analysis in KwaZulu-Natal, South Africa.
• Assessed population-level health impacts and cost-effectiveness of home HIV counselling and testing (HTC).
• Home HTC shows significantly higher coverage of testing and linkage to care among asymptomatic individuals.
• Community-based strategies are more cost-effective compared to traditional facility-based approaches.