Table 3. Costs of an epilepsy care program aimed at decreasing the treatment gap from 90–80%.
Program item | Baseline cost | Cost change in sensitivity analysis* |
---|---|---|
Number of PWE seeking/receiving care | Reduction of treatment gap to 80% for the 170,000 PWE in Zambia | None |
Rx1 | Labor1+cap1(.1%)+dx1+drugs1 $13.58 per PWE per year | Increase cap costs to 3%= $16.73+20% labor costs= $14.90 Purchase most expensive wholesale phenobarbitone= $74.83 Add pediatric AED formulations for 10% of PWE= $14.88 |
Rx2 | Labor2+cap2(.1%)+dx2+drugs2 $18.81 per PWE per year at Urban Health Center | +20% labor costs= $21.32 Seen at District Hospital= $31.79 |
Rx3 | Labor3+cap3(.1%)+dx3+drugs3 $165.63 per PWE per year in diagnosis year | $61.63 per PWE per year after dx |
Training | 10% of primary care staff $1.39 per PWE | - |
Social marketing | Sponsoring Epilepsy Week° $6.62 per PWE | - |
PWE, people with epilepsy.
Assumes all other costs remain at baseline model.
Based upon the annual costs of Child Health Week.