Estimating the cost of and willingness to pay for providing the dapivirine ring for HIV prevention in Kenya
This analysis revealed that costs are predominantly driven by commodities. Attempts to further reduce the cost of the commodities could significantly reduce the overall cost of PrEP ring service. Approximately half the women were willing to pay up to US$2 per month for the PrEP ring. Since the demand for the PrEP ring appears to be higher among current oral PrEP users compared to non-users, women who have initiated oral PrEP but who are unable or unwilling to continue may be good candidates for PrEP ring use. The annual willingness to pay for the PrEP ring (US$11.16) was significantly lower than the ring's cost ($206 per year), which suggests that attempts to fully recover costs would present a significant barrier for Kenyan women and would minimize societal benefits.
Authors
- Maryline Mireku
- Peter Stegman (ORCID: https://orcid.org/0000-0001-9648-0536)
- Katharine Kripke (ORCID: https://orcid.org/0000-0001-8228-4577)
- Guy Mahiané
- Millicent Kiruki
- Steven Forsythe (ORCID: https://orcid.org/0000-0002-4409-5991)
- Delivette Castor (ORCID: https://orcid.org/0000-0002-0988-9489)
- Urbanus Kioko (ORCID: https://orcid.org/0000-0002-4612-1233)
- Martha Larson (ORCID: https://orcid.org/0000-0003-4229-5866)
- Patriciah Jeckonia (ORCID: https://orcid.org/0000-0002-6287-5289)
- Daniel Were (ORCID: https://orcid.org/0000-0002-6538-002X)
- Kristine Torjesen (ORCID: https://orcid.org/0000-0002-3439-1199)
- Mary Mugambi
- Mike Ekisa
Institutions
- University of Nairobi (KE)
- Family Health International 360 (US)
- Kenya School of Government (KE)
- National Aids Control Council (KE)
- LVCT Health (KE)
- Avenir Health (US)
- Columbia University (US)
Publication Details
- Journal
- BMC Public Health
- Published
- 2025-03-22
- DOI
- https://doi.org/10.1186/s12889-025-22291-5
- Citations
- 1
- Primary Topic
- HIV/AIDS Research and Interventions
- Type
- article
- Field-Weighted Citation Impact
- 1.40