Table 2. Average unit costs across endemic African countries.
| Cost items | Average (SD)* | Unit |
|---|---|---|
| Category 1. Community-directed treatment with ivermectin | ||
| Advocacy/sensitization/mobilization | ||
| Advocacy | $4,544.00 ($3,624.71) | /project |
| Sensitization | $3,902.00 ($2,590.79) | /project |
| Mobilization | $0.01 ($0.01) | /person |
| Support for mobilization from community volunteers % | $1.68 ($3.12) | /volunteer/day |
| Development of IEC & material | $2,250.00 ($1,715.51) | /project |
| Production of IEC & material | $0.04 ($0.05) | /person |
| Supervision/monitoring/evaluation | ||
| Supervision (first 6 years) | $18,021.00 ($16,252.27) | /project |
| Assistance for supervisory visits (7th year+) | $2,099.00 ($981.23) | /project |
| Monitoring | $3,622.00 ($3,259.28) | /CDTi round |
| Evaluation | $4,008.00 ($599.03) | /CDTi round |
| Review meeting | $6,746.00 ($5,206.34) | /project |
| Data management | $2,309.00 ($2,287.10) | /project |
| Community self-monitoring | $0.02 ($0.02) | /person |
| Training | ||
| Training of trainers and health workers | $184.00 ($334.96) | /health worker |
| Training of community volunteers | $8.00 ($6.31) | /volunteer |
| Training of community leaders | $9.00 ($7.45) | /community |
| Drug distribution/management of severe adverse events | ||
| Community registration | $12.00 ($10.91) | /community |
| Census % | $1.68 ($3.12) | /volunteer/day |
| 1) In areas without epidemiological challenges | ||
| Delivery of ivermectin | $1.51 ($0.00) | /treatment |
| Ivermectin administration % | $1.68 ($3.12) | /volunteer/day |
| 2) In areas with epidemiological challenges (co-endemicity with Loa loa) | ||
| Diagnostic tools (annuitized) | $120.00 ($0.00) | /set |
| Delivery and administration of doxycycline @ | $2.50 ($0.00) | /6-week treatment |
| Management of severe adverse events | $2,993.00 ($3,888.44) | /project |
| Category 2. Surveillance | ||
| Supervision/monitoring/evaluation | ||
| Supervisory visit | $2,099.00 ($981.23) | /project |
| Monitoring | $3,622.00 ($3,259.28) | /project |
| Evaluation | $4,008.00 ($599.03) | /project |
| Review meeting | $6,746.00 ($5,206.34) | /project |
| Data management | $2,309.00 ($2,287.10) | /project |
| Training | ||
| Training of trainers and health workers | $184.00 ($334.96) | /health worker |
| Training of community volunteers (fly/larva-catchers) | $8.00 ($6.31) | /volunteer |
| Training of community leaders | $9.00 ($7.45) | /community |
| Epidemiological survey sampling | ||
| Surveillance trip transportation | $21.00 ($16.11) | /person/day/site |
| Personnel | $15.00 ($16.72) | /person/day/site |
| Field supplies (annuitized) | $68.00 ($0.00) | /set |
| Entomological survey sampling | ||
| Personnel | $2.41 ($2.14) | /person/day/site |
| Field supplies (annuitized) | $1.85 ($0.00) | /set/person/day/site |
| Delivery of samples | ||
| Delivery of skin-snip samples from villages to laboratory | Included in the surveillance trip transportation costs | /site |
| Delivery of vector samples from catching site to health facility | $7.95 ($5.25) | /site |
| Delivery of vector samples from health facility to MSDC | $135.00 ($0.00) | /project |
| Epidemiological laboratory testing | ||
| Personnel | $15.00 ($16.72) | /person/day/site |
| Laboratory supplies (annuitized) | $120.00 ($0.00) | /set |
| Entomological laboratory testing | ||
| Personnel | $9.00 ($0.00) | /person/day/site |
| Category 3. Capital costs | ||
| Vehicle (annuitized) | $3,919.00 ($661.27) | /vehicle |
| Motorcycle (annuitized) | $503.00 ($155.89) | /motorcycle |
| Bicycle (annuitized) | $21.00 ($6.12) | /bicycle |
| IT equipment and power supply equipment (annuitized) | $2,695.00 ($119.06) | /set |
| Category 4. Overhead and administrative costs | ||
| Maintenance of vehicle | $280.00 ($85.71) | /vehicle |
| Maintenance of motorcycle | $84.00 ($25.71) | /motorcycle |
| Office supplies, communication, top-ups (first 6 years), others | $34,151.00 ($24,626.97) | /project |
| Category 5. Financial support for CDTi and surveillance in (post) conflict endemic areas | ||
| Support for CDTi and surveillance in (post) conflict endemic areas# | $1,052,363.00 (NA) | /endemic African regions |
* Average unit costs across national averages for endemic African countries with budgets available
& IEC: Information/Education/Communication
@ Data from Wanji et al. 2009 [21]
# Based on the APOC budget plan for 2008–2015 and Sightsavers’s strategic plan for 2011–2021 [22,23]
Note: all capital costs for non-disposable goods were annuitized with 3% over six years.