Table 6 Scenario analysis using different proportion and costs of diagnostic tests at the two facilities
From: The economic burden of childhood pneumococcal diseases in The Gambia
RVTH N = 93 | Basse N = 147 | |
|---|---|---|
Scenario 1 | ||
X-ray | ||
Number of x-rays | 59 (60) | 118 (80) |
Total cost | 18.3 | 365.8 |
Proportion who had a diagnostic test | ||
Assuming 60 % of inpatients at Basse had an x-ray | – | 273.4 |
Assuming 80 % of inpatients at RVTH had an x-ray | 231 | – |
Blood culture | ||
Number of blood culture | 2 (2) | 126 (85) |
Total cost | 335 | 2252 |
Cost based on percentage of inpatients at RVTH that had blood culture | – | 53 |
Cost based on percentage of inpatients at Basse that had blood culture | 1425 | – |
Scenario 2 | ||
Costs for diagnostic tests from MRC, RVTH or private laboratories | ||
MRC lab costs | ||
Outpatient pneumonia | 6.5, 5.4 (5.4–8.5) | 2.98, 3.1 (1.9–5.0) |
Inpatient pneumonia | 13.3, 8.5 (5.4–8.5) | 28.2, 23.2 (21.1–26.5) |
Pneumococcal sepsis | 11.5, 6.9 (5.4–17.6) | 48.8, 26.6 (23.2–73.0) |
Bacterial meningitis | 28.4, 11.9 (5.4–56.2) | 85.2105.4 (69.9–118.0) |
RVTH lab costs | ||
Outpatient pneumonia | 1.28 (0.08, 0.08–3.18 | 1.63 (3.1, 0.04–3.1) |
Inpatient pneumonia | 8.74 (3.18, 0.06–3.18) | 15.80 (9.57,9.53–9.61) |
Pneumococcal sepsis | 2.91 (1.63, 0.08–5.75) | 35.5 (9.61, 7.41–59.57) |
Bacterial meningitis | 21.30 (4.10, 0.08–51.9) | 75.5 (100.08, 56.47–106.43) |
Private lab costs | ||
Outpatient pneumonia | 5.01, 3.68 (3.68–6.78) | 2.64, 3.1 (1.84, 3.68) |
Inpatient pneumonia | 11.95, 6.78 (3.78, 6.78) | 21.57, 15.97 (14.13–17.81) |
Pneumococcal sepsis | 8.45, 5.23 (3.68, 13.21) | 41.08, 18.74 (14.71–65.94) |
Bacterial meningitis | 26.05, 10.18 (3.68–54.60) | 79.95, 103.65 (62.87, 111.03) |