Cost-effectiveness analysis of integrated community case management delivery models utilizing drug sellers and community health workers for treatment of under-five febrile cases of malaria, pneumonia, diarrhoea in rural Uganda

Table 1 Health sector unit costs under iCCM strategy in US$ in 2018 and their sources

	iCCM trained-Drug seller	iCCM trained-CHW	Source
Program costs per drug seller or CHW per year
Training trainers/ supervisors	5.89	4.34	iCCM budget of Bugoye
Training drug sellers or CHWs	25.78	15.81	iCCM budget of Bugoye
Quarterly meetings^a	0	37.56	iCCM budget of Bugoye
Field supervision visits^b	161.04	32.16	iCCM budget of Bugoye
Management salaries	540.62	602.19	iCCM budget of Bugoye
Total	733.33	692.06
Drug and diagnostics costs
Artemether + Lumefantrine (20 + 120 mg) 6 × 1 blister pack	0.47	0.73	[29]
Artemether + Lumefantrine (20 + 120 mg) 6 × 2 blister pack	0.93	1.43	[29]
First response mRDT) per test	0.78	0.78	[29]
Amoxicillin 125 mg DT per strip of 10 tablets	0.13	0.2	[29]
ORS powder sachet for 1000 ml	0.08	0.13	[29]
Zinc sulphate (20 mg) DT per strip of 10 tablets	0.13	0.2	[29]
Total	2.52	3.47
Equipment costs
Respiratory timer	3.84	3.84	[31]
iCCM register	0.59	0.59	[31]
Safety box	12.77	12.77	[31]
Medicines box	0	27.60	[31]
Other supplies^c	80.49	80.49	iCCM budget of Bugoye
Incentives^d	0	57.65	iCCM budget of Bugoye
Total	97.67	182.94

^aCost for quarterly meetings and refresher training attended by CHWs at the health facility
^bField supervision visits were monthly for the iCCM-drug seller model and quarterly for the iCCM-CHW model
^cOther supplies include gloves, cotton wool, methylated spirit, and stock cards
^dIncentives include raincoats, umbrellas, gumboots, solar lights, and hoes

ISSN: 1475-2875