Table 3. Costs per round for annual and semiannual mass drug administration, by activity and cost item.

		India			West Africa
		Annual	Semiannual		Annual	Semiannual
		Cost per round ( = cost per year)	Cost per year	Average cost per round	Cost per round ( = cost per year)	Cost per year	Average cost per round
Planninga	Personnel	43	43	22	1,903	1,903	952
	Supplies	0	0	0	41	41	21
	Transportation	8	8	4	360	360	180
	Equipment/facilities	9	9	5	237	237	118
	Total	60	60	30	2,541	2,541	1,271
Training	Personnel				991	991	495
	Supplies				107	107	53
	Transportation				143	143	71
	Equipment/facilities				2	2	1
	Total				1,242	1,242	621
Sensitizationb	Personnel	684	923	462	262	354	177
	Supplies	823	1,646	823	52	103	52
	Transportation	318	430	215	64	86	43
	Equipment/facilities	18	18	9	103	103	52
	Total	1,843	3,017	1,508	481	647	323
Enumeration	Personnel	227	453	227
	Supplies	60	121	60
	Transportation	0	0	0
	Equipment/facilities	0	0	0
	Total	287	574	287
Drug distributionc , d	Personnel	318	636	318	4,770	9,540	4,770
	Supplies (excl. drug)	0	0	0	2,777	5,554	2,777
	DEC (purchased)	924	1,848	924	-	-	-
	ALB (donated)	2,200	4,400	2,200	2,200	4,400	2,200
	IVM (donated)	0	0	0	420,000	840,000	420,000
	Transportation	49	98	49	71	142	71
	Equipment/facilities	57	57	29	82	82	41
	Total	3,549	7,040	3,520	429,900	859,718	429,859
Supervision	Personnel	40	79	40
	Supplies	0	0	0
	Transportation	26	51	26
	Equipment/facilities	29	29	15
	Total	94	160	80
Surveillance/laboratory	Personnel				305	305	153
	Supplies				1	1	1
	Transportation				34	34	17
	Equipment/facilities				0	0	0
	Total				340	340	170
Adverse reaction monitoring	Personnel				73	147	73
	Supplies				0	1	0
	Transportation				0	0	0
	Equipment/facilities				0	0	0
	Total				74	147	74
Total cost (incl. all drugs)		5,834	10,851	5,425	434,578	864,636	432,318
Excl the donated drugs (ALB for India, IVM+ALB for Afr)		3,634	6,451	3,225	12,378	20,236	10,118

Costs per year and per treatment round for annual and semiannual mass drug administration programs, per 100,000 eligible persons, in 2009 US$. Cost for West Africa were based on detailed data from Burkina Faso. See Table 2 for data sources and calculation steps.

Abbrevations: DEC = diethylcarbamazine, ALB = albendazole, IVM = ivermectin.

^aincluding administration for West Africa.

^bincluding training of personnel for India.

^cincluding supervision and enumeration for West Africa.

^dIt is assumed that drugs were purchased for all persons eligible for MDA.