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Table 3 Costs incurred in the districts using the community-based DOTS strategy and the family-based DOTS strategy (US$)

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

  1. * Total of Syangja and Doti