Table 3.
Incremental efforts and costs (in US$) of active case detection (ACD) through house to house screening
| Saran, India | Muzaffarpur India | Sunsari et al. Nepal | Mymensingh, Bangladesh | |
|---|---|---|---|---|
| New visceral leishmaniasis cases detected | 19 | 8 | 7 | 12 |
| Houses screened | 5776 | 7025 | 1143 | 6566 |
| Houses to screen for detecting 1 new VL case | 300 | 880 | 160 | 550 |
| Costs: | ||||
| Training costs ($) | 411 | 83 | 1262* | 1000* |
| Diagnostics cost (rK39 ICTs etc.) ($) | 94 | 138 | 93 | 696† |
| House screening survey costs–per diem, travel, etc. ($) | 634 | 668 | 1111 | 875 |
| Cost per house surveyed | 11 cents | 9.5 cents | 97 cents | 13.3 cents |
| Total direct costs of ACD (adjusted‡) ($) | 934 | 848 | 1836 | 2071 |
| Incremental cost per new VL case detected ($) | ~50 | 106 | ~262 | ~172 |
*
Reflects higher per diem and differences in number of training sessions.
†
Includes cost of study physician recruited exclusively for study.
‡
Training costs assumed for two cycles of house surveys, hence half of training costs used here.