Table 1 Costs per DALY in Z$ by type of intervention (Z$17 = US$1), Zimbabwe, financial year 1997/1998
| Â | Â | ----- Costs per DALY ----- | ||
|---|---|---|---|---|
Disease group and intervention | Level of delivery | Median | Lowest | Highest |
HIV | Â | Â | Â | Â |
Prevention through access to treatment for STIs | Vertical programme | 129 | 124 | 133 |
Prophylaxis to prevent opportunistic diseases | District hospital, health centres | 9,959 | 9,712 | 11,063 |
Prophylaxis to prevent opportunistic diseases | Provincial hospital, health centres | 12,473 | 11,257 | 13,777 |
MALARIA | Â | Â | Â | Â |
Treatment as an outpatient | Health centres, hospitals | 159 | 127 | 214 |
Treatment as an inpatient | District hospital | 173 | 141 | 257 |
Prevention through residual house spraying | Vertical programme | 185 | 81 | 466 |
Treatment as an inpatient | Provincial hospital | 287 | 225 | 327 |
PNEUMONIA | Â | Â | Â | Â |
Treatment as an outpatient | Health centres, hospitals | 42 | 35 | 53 |
Treatment as an inpatient | District hospital | 130 | 102 | 182 |
Treatment as an inpatient | Provincial hospital | 295 | 258 | 317 |
DIARRHOEAL DISEASES | Â | Â | Â | Â |
Treatment an outpatient | Health centres, hospitals | 70 | 52 | 102 |
Prevention through hygiene promotion | Vertical programme | 1,011 | 985 | 1,054 |
DYSENTERY | Â | Â | Â | Â |
Treatment as an outpatient | Health centres, hospitals | 85 | 77 | 102 |
Treatment as an inpatient | District hospital | 531 | 461 | 757 |
Treatment as an inpatient | Provincial hospital | 908 | 814 | 1,002 |
TUBERCULOSIS | Â | Â | Â | Â |
Six months treatment with DOTS | District hospital, health centres | 815 | 706 | 878 |
Six months treatment with DOTS | Provincial hospital, health centres | 973 | 907 | 1,085 |
MALNUTRITION | Â | Â | Â | Â |
Surveillance and targeted food supplementation | Vertical programme | 1,489 | 1,457 | 1,524 |
MENINGITIS | Â | Â | Â | Â |
Treatment as an inpatient (bacterial men.) | District hospital | 281 | 266 | 408 |
Treatment as an inpatient (bacterial men.) | Provincial hospital | 488 | 404 | 580 |
Treatment as an inpatient (meningococcal men.) | District hospital | 98 | 89 | 144 |
Treatment as an inpatient (meningococcal men.) | Provincial hospital | 176 | 147 | 208 |
PELVIC INFLAMMATORY DISEASE | Â | Â | Â | Â |
Treatment as an outpatient | Health centres, hospitals | 365 | 346 | 411 |
Treatment as an inpatient | District hospital | 3,666 | 3,083 | 4,286 |
Treatment as an inpatient | Provincial hospital | 5,362 | 3,181 | 7,543 |
SYPHILIS | Â | Â | Â | Â |
Treatment as an inpatient | District hospital | 3,725 | 3,429 | 4,514 |
Treatment as an inpatient | Provincial hospital | 7,612 | 6,263 | 9,126 |
URETHRAL DISCHARGE IN MALE | Â | Â | Â | Â |
Treatment as an outpatient | Health centres, hospitals | 13,390 | 12,599 | 15,277 |
VAGINAL DISCHARGE | Â | Â | Â | Â |
Treatment as an outpatient | Health centres, hospitals | 3,495 | 3,312 | 3,955 |
CHILDHOOD CLUSTER DISEASES | Â | Â | Â | Â |
Prevention through vaccination | Vertical programme | 586 | 506 | 700 |
SCHISTOSOMIASIS HAEMATOBIUM | Â | Â | Â | Â |
Treatment as an outpatient | Health centres, hospitals | 259 | 160 | 317 |
SCHISTOSOMIASIS MANSONI | Â | Â | Â | Â |
Treatment as an outpatient | Health centres, hospitals | 431 | 267 | 528 |
TRACHOMA | Â | Â | Â | Â |
Treatment as an outpatient | Health centres, hospitals | 154 | 150 | 165 |
BACTERIAL CONJUNCTIVITIS | Â | Â | Â | Â |
Treatment as an outpatient | Health centres, hospitals | 235 | 219 | 271 |
GLAUCOMA | Â | Â | Â | Â |
Treatment as an inpatient | District hospital | 211 | 160 | 342 |
Treatment as an inpatient | Provincial hospital | 419 | 340 | 508 |
MINOR COMPLICATIONS IN DELIVERY | Â | Â | Â | Â |
Surgery | District hospital | 515 | 408 | 717 |
Surgery | Provincial hospital | 757 | 443 | 1,072 |
MAJOR COMPLICATIONS IN DELIVERY | Â | Â | Â | Â |
Surgery (caesarean section) | District hospital | 771 | 591 | 1,214 |
Surgery (caesarean section) | Provincial hospital | 935 | 621 | 1,249 |
APPENDICITIS | Â | Â | Â | Â |
Surgery | District hospital | 606 | 531 | 1,136 |
Surgery | Provincial hospital | 1,007 | 757 | 1,138 |
INGUINAL HERNIA | Â | Â | Â | Â |
Surgery | District hospital | 314 | 201 | 610 |
Surgery | Provincial hospital | 562 | 557 | 567 |
ABSCESS ON EXTREMITY | Â | Â | Â | Â |
Surgery | District hospital | 954 | 837 | 1,796 |
Surgery | Provincial hospital | 1,555 | 1,175 | 1,761 |
DIABETES MELLITUS | Â | Â | Â | Â |
Inpatient stay and follow-up at health centres | District hospital, health centres | 4,999 | 4,881 | 5,330 |
Inpatient stay and follow-up at health centres | Provincial hospital, health centres | 5,157 | 4,749 | 5,565 |
HYPERTENSION | Â | Â | Â | Â |
Inpatient stay and follow-up at health centres | District hospital, health centres | 8,510 | 8,419 | 9,032 |
Inpatient stay and follow-up at health centres | Provincial hospital, health centres | 9,732 | 9,094 | 10,370 |
RHEUMATIC FEVER | Â | Â | Â | Â |
Inpatient stay and follow-up at health centres | District hospital, health centres | 3,241 | 3,012 | 3,387 |
Inpatient stay and follow-up at health centres | Provincial hospital, health centres | 3,935 | 3,777 | 4,093 |
GASTRITIS | Â | Â | Â | Â |
Treatment as an outpatient | Health centres, hospitals | 394 | 362 | 461 |
Treatment as an inpatient | District hospital | 1,292 | 1,203 | 2,007 |
Treatment as an inpatient | Provincial hospital | 2,465 | 1,999 | 2,989 |
PEPTIC ULCER | Â | Â | Â | Â |
Treatment as an outpatient | Health centres, hospitals | 95 | 75 | 130 |
Treatment as an inpatient | District hospital | 428 | 397 | 684 |
Treatment as an inpatient | Provincial hospital | 850 | 686 | 1,036 |
GASTROENTERITIS | Â | Â | Â | Â |
Treatment as an outpatient | Health centres, hospitals | 331 | 279 | 425 |
Treatment as an inpatient | District hospital | 895 | 830 | 1,287 |
Treatment as an inpatient | Provincial hospital | 1,545 | 1,295 | 1,825 |
SCABIES | Â | Â | Â | Â |
Treatment as an outpatient | Health centres, hospitals | 1,074 | 890 | 1,403 |
IMPETIGO | Â | Â | Â | Â |
Treatment as an outpatient | Health centres, hospitals | 15,745 | 13,256 | 20,249 |
BODY RINGWORM | Â | Â | Â | Â |
Treatment as an outpatient | Health centres, hospitals | 17,266 | 13,920 | 23,130 |
TONSILLITIS | Â | Â | Â | Â |
Treatment as an outpatient | Health centres, hospitals | 53,087 | 49,429 | 61,289 |