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Table 4 Cost of diagnosing and treating malaria, diarrhea, and suspected pneumonia cases per CHW for 100 children from the societal perspective under the 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-CHW

CHW not trained in iCCM

Malaria

Pneumonia

Diarrhea

Malaria

Pneumonia

Diarrhea

Health sector costs

 Training trainers/supervisors

2.71

1.03

0.60

0.00

0.00

0.00

 Training CHWs

9.86

3.77

2.18

0.00

0.00

0.00

 Quarterly meetingsa

23.43

8.95

5.18

0.00

0.00

0.00

 Field supervision visitsb

20.06

7.67

4.43

0.00

0.00

0.00

 Management salaries

375.59

143.56

83.04

0.00

0.00

0.00

 mRDT

234.00

0.00

0.00

0.00

0.00

0.00

 Respiratory timer

0.00

3.84

0.00

0.00

0.00

0.00

 Drugs

240.90

24.00

63.00

0.00

0.00

0.00

 iCCM register

4.42

1.69

0.98

0.00

0.00

0.00

 Medicine box

17.21

6.58

3.81

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

35.96

13.73

7.96

0.00

0.00

0.00

Total

1,022.30

237.06

184.04

0.00

0.00

0.00

Costs borne by CHWs

 Consultation timee

17.00

17.00

17.00

0.00

0.00

0.00

 Household visitf

17.00

17.00

17.00

0.00

0.00

0.00

 Health facility visitg

14.00

5.00

3.00

0.00

0.00

0.00

 Direct travel costh

1.50

0.57

0.33

0.00

0.00

0.00

 Airtime costh

0.94

0.35

0.21

0.00

0.00

0.00

 Drugs

0.00

0.00

0.00

0.00

0.00

0.00

Total

50.44

39.92

37.54

0.00

0.00

0.00

Household costs

 Direct medical costs

0.00

0.00

0.00

0.00

0.00

0.00

 Direct non-medical costi

31.00

31.00

31.00

0.00

0.00

0.00

 Time lost traveling to health provider

12.00

12.00

12.00

0.00

0.00

0.00

 Time spent at health provider

17.00

17.00

17.00

0.00

0.00

0.00

Total

60.00

60.00

60.00

0.00

0.00

0.00

  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