ART Costing Tool Crosswalk: PEPFAR ART Costing Model (PACM)

PEPFAR ART Costing Model (PACM)

Link to ART Costing Crosswalk Analysis Table (PDF, 34 KB)

Model Methodology

  • Data are collected through retrospective program data review, including accounting records, expenditure logs, prescribing records, equipment inventories, and routine reporting forms.
  • Additional data are collected through key informant interviews to identify the programmatic activities to which resources were devoted and to develop a comprehensive description of the structure and functioning of the HIV treatment program at each facility.
  • Qualitative interview questions elicit the concerns, perceptions, and expectations of program staff members regarding program operating costs, scale-up, and sustainability.

Questions Answered

Estimates comprehensive costs of HIV treatment scale-up. Evaluates how costs change over time and what resources are needed from both the perspective of the country and of PEPFAR.

  • What are the costs of supporting HIV treatment programs for ART and pre-ART patients over a five-year period?
  • How do these costs change over time?
  • What resources are required for scale-up both from PEPFAR and the country’s perspective?

Program Areas

ART, pre-ART, first line, second line, adult/pediatric, newly initiated/established, administrative/management, overheads, and investments are included.

Data Outputs

Total costs of supporting HIV treatment services by year/quarter, by cost component, by patient type (first line, pediatric, etc.), by program activity, and by funder; total cost and quantity needed for each ARV by quarter.


  • Has a narrow focus on ART services
  • Currently, the model does not include costs of related interventions (e.g., inpatient care, counseling and testing, PMTCT [except as it relates to women already on ART], and TB/HIV care).
  • Does not predict resource gaps
  • Not yet publicly available

Online Access

Model not yet publicly available for download, but is available on request.

Contact(s) for More Information:


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