Table 5.
Mean annual costs (standard deviation) by IDSR activity* per health structure levels in Burkina Faso, Eritrea and Mali: 2002 – 2005
| Country | Health structure | Surveillance activities | Response activities | Support activities | |||||
| Detection | Report | Analysis | Feedback | Investigation§ | Treatment | Evaluation | Others† | ||
| Burkina Faso¶ | Region | 3,257 (648) |
5,158 (1,567) |
2,611 (791) |
2,410 (784) |
7,647 (1,216) |
12,391 (1,331) |
2,161 (420) |
265 (85) |
| District | 2,248 (917) |
1,485 (417) |
821 (271) |
601 (142) |
1,971 (351) |
2,924 (309) |
721 (46) |
143 (60) |
|
| Primary health care center | 305 (47) |
238 (12) |
146 (64) |
130 (16) |
164 (14) |
129 (14) |
57 (37) |
69 (71) |
|
| Eritrea | Central | 120,260 (33,084) |
52,510 (26,766) |
17,536 (8,013) |
14,539 (4,660) |
54,804 (6,442) |
178,760 (50,404) |
29,998 (11,216) |
40,844 (17,325) |
| Province | 15,323 (8,064) |
17,081 (6,739) |
5,953 (2,596) |
2,901 (1,035) |
7,427 (3,507) |
10,137 (2,670) |
2,402 (629) |
8,697 (2,842) |
|
| District | 3,702 (721) |
2,495 (671) |
1,225 (171) |
542 (52) |
1,059 (206) |
1,660 (269) |
40 (4) |
1,263 (742) |
|
| Mali | Region | 441 (180) |
3,989 (2,183) |
1,557 (216) |
2,736 (815) |
3,877 (216) |
12,430 (2,961) |
515 (520) |
16,348 (4,791) |
| District | 5,629 (1,940) |
1,268 (456) |
723 (861) |
395 (171) |
334 (70) |
4,002 (2,077) |
212 (160) |
1,378 (648) |
|
| Primary health care center | 98 77 |
57 (58) |
1 (1) |
0 (0) |
7 (14) |
794 (573) |
0 (0) |
224 (109) |
|
* Costs per IDSR activity were converted to 2002 US dollar equivalent. To calculate the cost of each resource per IDSR activity, we multiplied the estimated total IDSR cost of that resource by the proportion of personnel time (or actual amount of resource) allocated to that activity relative to all IDSR activities.
§ Investigation, verification and laboratory confirmation of suspected cases.
† Other support activities include training, supervision, communication and coordination.
¶Laboratory and treatment costs in Burkina Faso were extrapolated from the average annual per capita costs of laboratory and treatment for Eritrea and Mali and the average population per health structure level in Burkina Faso (see Table 2)