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Table 6 Mean cost (with SD) for treating one episode of severe malaria in patients admitted to hospitals and health centres in the Democratic Republic of Congo

From: An operational comparative study of quinine and artesunate for the treatment of severe malaria in hospitals and health centres in the Democratic Republic of Congo: the MATIAS study

Hospital/Health centre Mean length of stay, days (SD) Blood smear unit cost Mean injectable drug cost Mean oral drug costa Mean administration cost Mean inpatient cost Mean total cost per patient
  QNN ART QNN ART QNN ART QNN ART QNN ART QNN ART QNN ART
Kimpese referral hospital 7.12 (4.43) 6.26 (5.01) 2.94 2.94 0.45 (0.22) 7.72 (3.28) 0.66 (0.38) 0.48 (0.06) 1.89 (0.83) 1.39 (0.48) 49.56 (18.04) 47.25 (19.82) 61.58 (18.72) 59.57 (20.97)
Centre Hospitalier Roi Baudouin 4.09 (3.41) 3.72 (2.17) 3.21 3.21 0.78 (0.17) 3.24 (1.51) 0.97 (0.30) 0.56 (0.21) 6.59 (1.56) 0.90 (0.83) 38.60 (12.99) 38.76 (8.32) 53.29 (7.86) 46.58 (8.55)
Hôpital St Luc Kisantu 3.13 (1.06) 6.68 (4.00) NA NA NA 3.87 (1.72) 0.70 (0.23) 0.50 (0.18) NA NA NA NA 50.34 (9.98) b 55.44 (11.81) b
Health Centre CECO 3.96 (2.35) 4.28 (3.36) 1.07 1.07 0.57 (0.14) 7.19 (2.51) 1.00 (0.49) 0.48 (0.13) 2.10 (0.34) 1.62 (0.45) 40.28 (10.32) 41.62 (14.47) 32.53 (14.25) c 28.21 (9.41) c
Health Centre La Famille 3.80 (1.54) 2.58 (1.50) 1.07 1.07 0.94 (0.43) 7.26 (3.95) 1.58 (0.59) 0.66 (0.30) 3.89 (1.59) 1.22 (0.45) 10.48 (3.63) 8.19 (3.21) 19.35 (4.46) 18.21 (5.02)
Health Centre Bita 2.18 (0.68) 1.99 (0.11) 1.07 1.07 1.49 (0.33) 7.30 (2.68) 1.99 (0.78) 0.49 (0.17) 6.48 (1.23) 1.51 (0.23) 6.71 (2.07) 6.39 (0.30) 21.97 (2.73) 16.56 (2.87)
Health Centre Menkao 1.78 (0.97) 1.27 (1.34) 1.07 1.07 1.81 (0.72) 9.12 (5.09) 1.05 (0.45) 0.63 (0.24) 5.10 (1.19) 2.60 (0.73) 3.15 (1.29) 2.49 (1.76) 13.92 (2.59) 15.66 (5.84)
Health Centre Ngeba 4.6 (2.59) 2.7 (0.98) NA NA NA 5.87 (1.95) 0.97 (0.30) 0.43 (0.04) NA NA NA NA 6.86 (0.84) b 4.47 (0.10) b
  1. In 2014 USD; NA not available
  2. a Mean cost for oral quinine and AS-AQ
  3. b Unit costs not available. Lump sum payment system. All exams and drugs other than anti-malarial are included. Patients pay a part of the total costs; the rest is supported by a partner
  4. c Among health centres, blood transfusion was only performed in CECO. To allow cost comparison with the other health centres, costs of blood transfusion were not included in the total costs. Mean total costs for CECO under ART and QNN are USD47.47 (9.41) and USD51.79 (14.25) respectively if blood transfusion is included
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