TABLE 2.
COST PARAMETERS IN 2008 U.S. DOLLARS AND DATA SOURCES
| Item | Resource Use | Unit | Cost |
|---|---|---|---|
| Total cost of IPT per additional patient | $16.97 | ||
| Nurse screening time (15 min during six follow-up visits) | 90 | min | $13.81 |
| Isoniazid (INH) 6 mo | 182 | DDD | $2.31 |
| Pyridoxine (B6) months | 182 | DDD | $0.85 |
| Total cost per CXR | $13.50 | ||
| Equipment costs per CXR | $2.86 | ||
| Film cost per CXR | $2.94 | ||
| Radiographer: administer CXR | 20 | min | $2.92 |
| Medical officer: reading CXR | 10 | min | $4.78 |
| Total cost per patient for DOTS (pan-susceptible) | $288.28 | ||
| Pharmacist: observation (10 min daily for 182 d) | 1,820 | min | $278.92 |
| Standard 182 d of DOTS treatment (HRZE2HR4) | 182 | DDD | $9.36 |
| Total cost per patient for DOTS (INH-R) | $294.40 | ||
| Pharmacist: observation (10 min daily for 182 d) | 1,820 | min | $278.92 |
| Standard 182 d of DOTS treatment (HRZE6) | 182 | DDD | $15.48 |
| Total cost per patient for second-line DOTS (MDR TB) | $3,865.61 | ||
| Nurse: observation and injection (10 min daily for 6 mo) | $279.23 | ||
| Pharmacist: observation (10 min daily for 18 mo) | $838.28 | ||
| Medical officer: medical evaluation (20 min monthly for 24 mo) | $229.24 | ||
| 6 mo of Amik+Ethio+PZA+Cipro and 18 mo of Ethio+Cipro | $2,518.86 | ||
| Total cost of evaluation for TB disease | $23.40 | ||
| Nurse: intake | 15 | min | $2.30 |
| Medical officer: clinical evaluation | 25 | min | $11.94 |
| Lab technician: performance of three sputum smears | 15 | min | $2.30 |
| Materials for sputum smear microscopy | 3 | $6.86 | |
| Total cost per patient for patient tracking | $30.39 | ||
| Assistant health educator: time spent tracking patient | 6 | h | $17.53 |
| Telephone airtime | $2.14 | ||
| Vehicle use cost | $10.71 |
Definition of abbreviations: Amik = amikacin; Cipro = ciprofloxacin; CXR = chest X-ray; DDD = daily defined dose; DOTS = directly observed anti-TB therapy short course; Ethio = ethionamide; HR4 = isoniazid plus rifampicin for 4 months; HRZE2, HRZE6 = isoniazid plus rifampicin plus pyrazinamide plus ethambutol for 2 and 6 months, respectively; INH-R = isoniazid resistant; IPT = isoniazid preventive therapy; MDR TB = multidrug-resistant tuberculosis; PZA = pyrazinamide.
Salaries are based on the following hourly wages in Botswana: nurse (C4–C1 pay grade), $9.21; radiographer (C4–C2 pay grade), $8.77; medical officer (D4–D2 pay grade), $28.65; laboratory technician (C4–C2 pay grade), $9.20; and assistant health educator (B1–B5 pay grade), $2.92 [reported in Adjustment of Salary Scales and Review of Allowances 2008 DP 2/5 XI (115) 02/22/2008. Public Service Management Directive No. 1 of 2008].