From: Community-based DOTS and family member DOTS for TB control in Nepal: costs and cost-effectiveness
Districts using the community-based DOTS strategy | Districts using the family-based DOTS strategy | ||||||
---|---|---|---|---|---|---|---|
Palpa | Syangja | Doti | Total* | Baglung | Dolakha | Total | |
Total number of patients treated | 422 | 335 | 125 | 460 | 136 | 117 | 253 |
No of patients successfully treated | 367 | 276 | 106 | 382 | 104 | 104 | 208 |
Treatment success rate | 87% | 82% | 85% | 83% | 76% | 89% | 82% |
Costs per patient | |||||||
Total recurrent costs, including: | 65.7 | 71.4 | 89.3 | 76.2 | 85.4 | 82.5 | 84.1 |
Recurrent cost to health system | 42.0 | 42.7 | 62.5 | 48.1 | 59.2 | 48.6 | 54.3 |
Personnel costs | 19.9 | 21.5 | 35.6 | 25.3 | 26.6 | 23.9 | 25.3 |
Drug costs | 12.5 | 12.1 | 12.9 | 12.3 | 13.0 | 12.9 | 13.0 |
Transportation | 0.9 | 1.1 | 6.8 | 2.7 | 5.1 | 3.2 | 4.2 |
Utilities | 3.7 | 4.6 | 2.8 | 4.1 | 6.3 | 5.3 | 5.9 |
Training, supervision, monitoring | 1.6 | 1.8 | 4.0 | 2.4 | 2.3 | 1.9 | 2.1 |
Others (supplies, logistics, social mobilisation) | 3.5 | 1.6 | 0.5 | 1.3 | 5.9 | 1.4 | 3.8 |
Recurrent cost to patients and supervisors | 23.6 | 28.6 | 26.8 | 28.1 | 26.2 | 34.0 | 29.8 |
Total costs to patients: | 20.7 | 25.2 | 24.4 | 25.0 | 21.6 | 19.2 | 20.5 |
Opportunity costs | 13.4 | 12.5 | 9.2 | 11.6 | 13.4 | 19.2 | 16.1 |
Direct costs | 5.1 | 6.9 | 8.6 | 7.3 | 8.2 | 0.0 | 4.4 |
Other costs | 2.2 | 5.8 | 6.6 | 6.1 | 0.0 | 0.0 | 0.0 |
Total costs to supervisors, including: | 3.0 | 3.4 | 2.3 | 3.1 | 4.6 | 14.7 | 9.3 |
Opportunity costs | 3.0 | 2.3 | 2.3 | 2.3 | 2.8 | 13.6 | 7.8 |
Direct costs | 0.0 | 1.1 | 0.0 | 0.8 | 2.5 | 0.2 | 1.4 |