Working to Advance
Health Equity in Africa

Costing and benefits of comprehensive care offered by the Valley Trust

Costing and benefits of comprehensive care offered by the Valley Trust


As the burden of HIV and AIDS care requires more than mere provision of medical attention, priorities are being set to view more holistic models of support. The Valley Trust, an NGO operating in KwaZulu-Natal’s Valley of a Thousand Hills, offers a range of social programmes as elements of an integrated model described as ‘Comprehensive Care’. We examine the costs and benefits of these components.


To promote good health and quality of life through the principles of primary health-care (PHC) and people-centered development through:

  • Establishing the cost of providing an activity per beneficiary for various services provided by Valley Trust
  • Understanding the qualitative benefits of providing additional components of care
  • Understanding the current and future role of the NGO in providing comprehensive care.

Methodological approach:

Key research questions:
The costs and outcomes of the Comprehensive Care programme offered by Valley Trust.
The role of the NGO in provision of Comprehensive Care (a development approach as opposed to a service delivery approach).

An examination of the Valley Trust’s programmes provides deeper insight into how such models work, the links between the State and the organisation, and the extent to which their systems are valuable in replication elsewhere.