Abstract
OBJECTIVE: To describe healthcare resource use in rural Mozambique among postpartum women with HIV, their seroconcordant male partners (MPs), and their infants to estimate costs and inform program planning. METHODS: We collected self-reported resource use data alongside a clinical trial and used WHO-CHOICE methodology to estimate associated healthcare costs. RESULTS: We enrolled 927 postpartum women with HIV, 836 MPs, and 756 infants from birth/delivery to 18 months postpartum. We found that 55%, 38% and 8% of women had 0, 1-2, and ≥ 3 health center visits during the first postpartum month, whereas 44%, 47%, and 8% of infants had 0, 1-2, and ≥ 3 health center visits during the same period. 77%, 18%, and 5% of women and 77%, 20%, and 3% of infants spent 0, 1-2, and ≥ 3 nights in a hospital, respectively. From 15 to 18 months postpartum, 38%, 50%, and 12% of women, 45%, 47%, and 8% of MPs, and 33%, 55%, and 12% of infants had 0, 1-2, and ≥ 3 health center visits; hospitalization was infrequent. Average per-person costs of inpatient and outpatient care in the first month postpartum were $4.34-$5.36 and $2.15-3.40, respectively. CONCLUSION: Overall healthcare resource use was low for this population in rural Mozambique in the 18 months after birth/delivery.