Table 5.
Scenario | Fully decentralised US$ | Fully Hospitalised, US$ | Partially decentralised Model A US$ | Partially decentralised Model B US$ | Urban/rural divide US$ |
---|---|---|---|---|---|
Base-case estimate | 109 794 198 | 190 208 003 | 115 584 975 | 122 029 079 | 162 370 737 |
Model B | |||||
20% smear-positive | – | – | – | 117 196 727 | – |
60% smear-positive | – | – | – | 125 763 169 | – |
Model A | |||||
Home visits at US$10.75* per patient per day | 141 187 047 | – | – | ||
Using a range of costs for in-patient day | |||||
Lower estimate at US$44.44† (applicable to larger urban hospitals due to economies of scale) | 92 868 141 | 140 959 464 | 96 347 256 | 100 098 080 | 115 133 858 |
Upper estimate at US$98.77‡ (applicable to rural hospitals with fewer patients and higher transport costs) | 126 720 295 | 239 438 456 | 134 815 613 | 143 952 007 | 178 902 710 |
Replacing centralised approach in rural patients with | |||||
Model A | – | – | – | – | 112 471 859 |
Model B | – | – | – | – | 115 455 086 |
If relative % of XDR-TB and pre-XDR-TB | |||||
Doubled | 128 129 829 | 221 972 740 | 134 887 666 | 142 407 935 | 189 486 650 |
Halved | 106 390 578 | 184 311 555 | 112 001 841 | 118 246 178 | 157 337 244 |
Estimate.
Cost data from the urban TB hospital.
Cost data from the rural TB hospital.
TB = tuberculosis; XDR-TB = extensively drug-resistant TB.