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Table 2 Cost estimates used in model

From: Cost-effectiveness analysis of rapid diagnostic test, microscopy and syndromic approach in the diagnosis of malaria in Nigeria: implications for scaling-up deployment of ACT

 

Diagnostics

Estimate

Source

C1

PT

  

C2

RDT

$0.76

Uzochukwu. 2008

C3

Microscopy

$1.30

Uzochukwu. 2008

 

Drugs

 

Uzochukwu. 2008

C4

ACT adult dose

$2.50

Uzochukwu. 2008

C5

Amoxicillin

$0.74

Shillcutt et al. 2008

C6

Oral quinine (10 mg/kg every 8 hours for 7 days

3.12

Shillcutt et al., 2008

C7

Intravenous quinine (initial dose-20 mg/kg over 4 hours

$0.55

Primary data- University of Nigeria Teaching Hospital

C8

Intravenous quinine (per day after -- 10 mg/kg every 8 hours

$0.82

Primary data- University of Nigeria Teaching Hospital

C9

Drugs for severe bacterial infection

2*C5

Assumption

 

Cost Weight

  

C10

Children cost as % of cost of adult dose

1.25

Shillcutt et al., 2008

C11

Drug/RDT wastage, transport, insurance

 

Assumption

C12

RDT training, additional staff time & QC as % of cost

$0.076

Primary data- University of Nigeria Teaching Hospital

 

Outpatient

  

C13

Patient costs outpatient

$0.69

Uzochukwu 2008

C14

Outpatient cost that are fixed (26%)

$0.18

Shillcutt et. al. (2008)

C15

Outpatient costs that are drugs (37%)

$0.26

Shillcutt et. al. (2008)

C16

Health centre facilities (per visit)

$0.8

Uzochukwu 2008

C17

Hospital facilities (per visit)

$3.90

Uzochukwu 2008

 

Inpatient

  

C18

Patient cost for attending inpatient facility (including transport but excluding fees and cost of patient and caretaker time)

$3.00

Uzochukwu 2008

C19

Proportion of inpatient costs that were drugs

17%

Uzochukwu 2008

C20

Proportion of inpatient facility costs that were fixed

  

C21

Provider cost: cost of inpatient faciliy per day

$14.15

Nelson et al. 1995, Kirigia et al., 1998, Barnum & Kutzin, 1993

C22

Average length of stay in days as an inpatient when died (all illnesses)

2 days

Primary data- University of Nigeria Teaching Hospital

C23

Average length of stay in days as an inpatient when had severe malaria and recovered.

4.5 days

Primary data- University of Nigeria Teaching Hospital

C24

Average length of stay as an inpatient when had severe bacterial infection and recovered

7.5 days

Primary data- University of Nigeria Teaching Hospital