Table 9 Sensitivity to selected parameters of the cost-effectiveness ratio and the incremental cost-effectiveness ratio (ICER) for treating malaria, diarrhoea and suspected pneumonia in children under-five under iCCM and CHPS in the Volta Region
Indicators | iCCM | CHPS | iCCM | CHPS | iCCM | CHPS |
|---|---|---|---|---|---|---|
Average facility cost | More costly facility | Less costly facility | ||||
Costs per 100 children (ACT or quinine) | 119.0 | 182.3 | 141.1 | 234.0 | 97.0 | 130.6 |
Number treated according to protocol (prompt ACT or quinine) | 21 | 15 | 21 | 15 | 21 | 15 |
Incremental cost-effectiveness ratio (prompt ACT or quinine) | iCCM dominates | iCCM dominates | iCCM dominates | |||
Cost per 100 children (ORS and zinc) | 9.8 | 47.5 | 11.2 | 64.4 | 8.3 | 30.7 |
Number treated according to protocol (ORS and zinc) | 54 | 43 | 54 | 43 | 54 | 43 |
Incremental cost-effectiveness ratio (ORS and zinc) | ICCM dominates | iCCM dominates | iCCM dominates | |||
Costs per 100 children (amoxicillin) | 19.9 | 122.1 | 20.5 | 168.9 | 19.1 | 75.6 |
Number treated according to protocol (amoxicillin) | 72 | 72 | 72 | 72 | 72 | 72 |
Incremental cost-effectiveness ratio (amoxicillin) | iCCM less costly/same effectiveness | iCCM less costly/same effectiveness | iCCM less costly/same effectiveness | |||
| Â | 3% discount rate | 5% discount rate | 7% discount rate | |||
|---|---|---|---|---|---|---|
Costs per 100 children (ACT or quinine) | 119.04 | 182.30 | 121.20 | 187.66 | 127.68 | 202.60 |
Number treated according to protocol (prompt ACT or quinine) | 21 | 15 | 21 | 15 | 21 | 15 |
Incremental cost-effectiveness ratio (prompt ACT or quinine) | iCCM dominates | iCCM dominates | iCCM dominates | |||
Cost per 100 children (ORS and zinc) | 9.78 | 47.54 | 9.78 | 48.46 | 9.89 | 49.84 |
Number treated according to protocol (ORS and zinc) | 54 | 43 | 54 | 43 | 54 | 43 |
Incremental cost-effectiveness ratio (ORS and zinc) | iCCM dominates | iCCM dominates | iCCM dominates | |||
Costs per 100 children (amoxicillin) | 19.87 | 122.13 | 19.87 | 124.59 | 19.87 | 127.87 |
Number treated according to protocol (amoxicillin) | 72 | 72 | 72 | 72 | 72 | 72 |
Incremental cost-effectiveness ratio (amoxicillin) | iCCM less costly/same effectiveness | iCCM less costly/same effectiveness | iCCM less costly/same effectiveness | |||
| Â | Average utilization | Higher utilization | Lower utilization | |||
|---|---|---|---|---|---|---|
Costs per 100 children (ACT or quinine) | 119.04 | 182.30 | 110.40 | 166.21 | 144.00 | 226.91 |
Number treated according to protocol (prompt ACT or quinine) | 21 | 15 | 21 | 15 | 21 | 15 |
Incremental cost-effectiveness ratio (prompt ACT or quinine) | iCCM dominates | iCCM dominates | iCCM dominates | |||
Cost per 100 children (ORS and zinc) | 9.78 | 47.54 | 8.67 | 43.48 | 12.78 | 50.23 |
Number treated according to protocol (ORS and zinc) | 54 | 43 | 54 | 43 | 54 | 43 |
Incremental cost-effectiveness ratio (ORS and zinc) | iCCM dominates | iCCM dominates | iCCM dominates | |||
Costs per 100 children (amoxicillin) | 19.87 | 122.13 | 14.64 | 112.13 | 36.46 | 128.85 |
Number treated according to protocol (amoxicillin) | 72 | 72 | 72 | 72 | 72 | 72 |
Incremental cost-effectiveness ratio (amoxicillin) | iCCM less costly/same effectiveness | iCCM less costly/same effectiveness | iCCM less costly/same effectiveness | |||
| Â | Average effectiveness | Higher effectiveness | Lower effectiveness | |||
|---|---|---|---|---|---|---|
Costs per 100 children (ACT or quinine) | 119.04 | 182.30 | 111.86 | 178.28 | 88.40 | 186.13 |
Number treated according to protocol (prompt ACT or quinine) | 21 | 15 | 31 | 15 | 11 | 15 |
Incremental cost-effectiveness ratio (prompt ACT or quinine) | iCCM dominates | iCCM dominates | iCCM is less costly and less effective | |||
Cost per 100 children (ORS and zinc) | 9.78 | 47.54 | 6.82 | 47.15 | 14.40 | 47.87 |
Number treated according to protocol (ORS and zinc) | 54 | 43 | 59 | 43 | 49 | 43 |
Incremental cost-effectiveness ratio (ORS or zinc) | iCCM dominates | iCCM dominates | iCCM dominates | |||
Costs per 100 children (amoxicillin) | 19.87 | 122.13 | 19.55 | 121.97 | 19.97 | 122.30 |
Number treated according to protocol (amoxicillin) | 72 | 72 | 80 | 72 | 65 | 72 |
Incremental cost-effectiveness ratio (amoxicillin) | iCCM dominates | iCCM dominates | iCCM is less costly and less effective | |||