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Table 2 Parameters used in estimation of nationwide costs and sensitivity analysis

From: The costs of introducing artemisinin-based combination therapy: evidence from district-wide implementation in rural Tanzania

Calculation Parameters

Rufiji District Parameters

 

Source/Ref. Number

Total Rufiji District population

212,144

NBS Ref # 20

Malaria outpatient cases per 1000 population in Rufiji District

826

NMCP Ref # 23

Total public health facilities in Rufiji District

46

Rufiji CHMT

Total mission health facilities in Rufiji District

10

 

Total ACT (AS + SP) doses deployed over 3 years in Rufiji District

445,944

IMPACT-TZ Annual Reports

National Parameters for Tanzania Mainland

  

National population growth rate per annum

0.023

NMCP Ref # 23

Total population in Tanzania (2002 census)

33,461,849

 

Malaria outpatient cases per 1000 population

390

 

Total number of Districts in mainland Tanzania

119

NBS Ref # 20

Total number of public health facilities in mainland Tanzania

3,456

Ministry for Health & Social Welfare, Tanzania

Total number of mission health facilities in mainland Tanzania

951

 

MSD handling and distribution costs as proportion of drug costs

0.14

Medical Stores Department

Drug Cost Parameters

  

Average cost of AS+SP per dose

TZS. 1,870

IMPACT-Tz

Average cost of ARLU per dose

TZS. 1,266

Implementation costs ef # 28

Proportions of malaria patients by age group:

  

   Age between 3 to 36 months

0.34

 

   Age between 37 to 84 months

0.15

IMPACT-Tz 2004

   Age between 7 to 14 years

0.06

household survey

   Age from 15 years and above

0.45

 

Sensitivity Analysis

  

Cost of six deputy managers (3 years salary and benefits)

70,986 USD

Ref # 14 (New salary schemes)

Total Expatriate costs

36,672 USD

Ref # 14

Additional office equipments

250,072 USD

IMPACT -Tz. purchase records

Projected increase in public and mission health facility utilization following introduction of ACT

50%

IMPACT-Tz. Surveys

Average cost per dose of cheaper alternative ACT (AS+Amodiaquine)

0.85 USD

1st line drug of choice in Zanzibar