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Table 3 Cost of diagnosing and treating malaria, diarrhea, and suspected pneumonia cases per drug seller for 100 children from the societal perspective under iCCM strategy in rural Uganda in 2018 (US$)

From: 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

 

iCCM trained-Drug seller

Drug seller not trained in iCCM

Malaria

Pneumonia

Diarrhea

Malaria

Pneumonia

Diarrhea

Health sector costs

 Training trainers/supervisors

3.67

1.40

0.82

0.00

0.00

0.00

 Training drug sellers

16.08

6.15

3.56

0.00

0.00

0.00

 Quarterly meetingsa

0.00

0.00

0.00

0.00

0.00

0.00

 Field supervision visitsb

100.44

38.38

22.22

0.00

0.00

0.00

 Management salaries

337.19

128.88

74.55

0.00

0.00

0.00

 mRDT

234.00

0.00

0.00

0.00

0.00

0.00

 Respiratory timers

0.00

3.84

0.00

0.00

0.00

0.00

 Drugs

156.59

15.60

40.95

0.00

0.00

0.00

 iCCM register

4.42

1.69

0.98

0.00

0.00

0.00

 Medicine box

0.00

0.00

0.00

0.00

0.00

0.00

 Safety box

7.96

3.05

1.76

0.00

0.00

0.00

 Other suppliesc

50.20

19.19

11.10

0.00

0.00

0.00

 Incentivesd

0.00

0.00

0.00

0.00

0.00

0.00

Total

910.55

218.18

155.94

0.00

0.00

0.00

Costs borne by drug sellers

 Consultation timee

17.00

17.00

17.00

12.00

12.00

12.00

 Household visitf

0.00

0.00

0.00

0.00

0.00

0.00

 Health facility visitg

0.00

0.00

0.00

0.00

0.00

0.00

 Direct travel cost

0.00

0.00

0.00

0.00

0.00

0.00

 Airtime costh

0.00

0.00

0.00

0.00

0.00

0.00

 mRDT

0.00

0.00

0.00

234.00

0.00

0.00

 Drugs

84.32

8.40

22.05

240.90

24.00

63.00

Total

101.32

25.40

39.05

486.9

36.00

75.00

Household costs

 Direct medical costs

126.48

12.60

33.08

478.35

36.00

94.50

 Direct non-medical costi

94.00

94.00

94.00

94.00

94.00

94.00

 Time lost traveling to health provider

17.00

17.00

17.00

17.00

17.00

17.00

 Time spent at health provider

17.00

17.00

17.00

12.00

12.00

12.00

Total

254.48

140.60

161.08

601.35

159.00

217.50

  1. aCost for quarterly meetings and refresher training attended by CHWs at the health facility
  2. bField supervision visits were monthly for the iCCM-drug seller model and quarterly for the iCCM-CHW model
  3. cOther supplies include gloves, cotton wool, methylated spirit, and stock cards
  4. dIncentives include raincoats, umbrellas, gumboots, solar lights, and hoes
  5. eRefers to the value of time a drug seller or CHW spends diagnosing and treating a sick U5
  6. fRefers to the value of time a CHW spends following up on a previously treated U5 case
  7. gRefers to the value of time to collect new drugs, deliver service statistics, meet with the supervisor
  8. hNon-reimbursed travel and airtime costs
  9. iDirect non-medical costs include costs for transport to & from the provider and special food to improve health