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Table 1 Main unit costs and sources for the two treatment arms

From: Cost-effectiveness of artemisinin–naphthoquine versus artemether–lumefantrine for the treatment of uncomplicated malaria in Papua New Guinean children

Item

Unit cost (2012 PGK)

Unit cost (2012 US$)

Source

Comments

Health clinic visit

 Outpatient

3.00

1.472

Alexishafen/Mugil Health Centres

Includes examination by nurse and treatment

 Inpatient

10.00

4.908

Alexishafen/Mugil Health Centres

All treatment costs

Transport cost to Alexishafen Health Centre

 PMV (return)

4.00

1.963

Alexishafen Health Centre

For average distance (PGK2 close—PGK6 far)

 Hire vehicle (night transport after PMV hours)

35.00

17.176

Alexishafen Health Centre

Range PGK20-PGK50

 Ambulance (emergency)

30.00

14.723

Alexishafen Health Centre

 

Transport cost to Mugil Health Centre

 PMV (return)

6.00

2.945

Mugil Health Centre

For average distance (PGK2 close—PGK10 far)

 Hire vehicle (night transport after PMV hours)

40.00

19.630

Mugil Health Centre

Range PGK30- PGK50

 Ambulance (emergency)

30.00

14.723

Mugil Health Centre

 

Malaria treatment

 A + L

0.396

0.194

PNG National Department of Health, 2012

National standard treatment

 A + N

3.75

1.840

Local pharmacy over-the-counter

 

Other medications

 Paracetamol syrup 120 mg/5 ml

0.010/ml

0.005/ml

PNG National Department of Health, 2012

15 mg/kg given if axillary temperature > 37.5 °C

 Paracetamol tablets, 500 mg

0.011

0.005

PNG National Department of Health, 2012

15 mg/kg given if axillary temperature > 37.5 °C

 Paracetamol suppository, 250 mg

0.226

0.111

PNG National Department of Health, 2012

15 mg/kg given if axillary temperature > 37.5 °C

 Albendazole 200 mg tablet

0.025

0.012

PNG National Department of Health, 2012

For hookworm on Day 42 if Hb < 90 g/l

 Fefol (FeSO4 200 mg, folic acid 0.4 mg)

0.027

0.013

PNG National Department of Health, 2012

Day 42 if Hb < 90 g/l

 Amodiaquine 100 mg tablet

0.024

0.012

PNG National Department of Health, 2012

Day 42 if Hb < 90 g/l and spleen grade ≥ 3

Tests

 Rapid diagnostic test

2.241

1.100

Access Bio Inc.

CareStart Malaria HRP2/pLDH (Pf/PAN) Combo; Baseline

 HemoCue Hb point of care (POC) test

3.454

1.695

HemoCue Australia Pty Ltd

 

 HemoCue glucose POC test

3.896

1.912

HemoCue Australia Pty Ltd

 

 Malaria microscopy, blood slide and reading

3.580

1.757

Interpath, national salary

Days 0–42; includes price of blood slide, stain, 15 min salary to read slide

Other

 Milk (250 ml tetra packs full cream)

1.708

0.838

K41.00/24 packs wholesale (2011)

 

 Syringe disposable 10 ml with 21-G needle

0.210

0.103

PNG National Department of Health, 2012

 

 Gloves, disposable

0.136

0.067

PNG National Department of Health, 2012

PGK6.82/box non-sterile gloves

 Blood lancet, disposable

0.032

0.016

PNG National Department of Health, 2012

PGK6.38/box of 200 lancets

 Alcohol wipe × 1 each blood sample

0.017

0.008

PNG National Department of Health, 2012

PGK1.74/box of 100 sterile wipes

 Cotton wool swab × 1 each blood sample

0.007

0.003

PNG National Department of Health, 2012

PGK3.55/500 g pack

  1. Per tablet or test except where indicated otherwise