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. 2017 Dec 15;12(12):e0189758. doi: 10.1371/journal.pone.0189758

Table 3. Sensitivity to selected parameters of the incremental cost-effectiveness ratio (ICER) of replacing presumptive diagnosis by rapid diagnostic tests in drug shops in Mukono District, Uganda, 2011 (US$1 = UGX2523).

Parameter & --- ICER in US$ --- Parameter & --- ICER in US$ ---
Health sector Societal Health sector Societal
Malaria prevalence among customers (43% and 32%) Prob. of subs. treatment in mRDT arm (9.8%)
 10% -0.09 2.72  2% 0.55 3.34
 20% 0.08 3.21  20% 0.55 4.47
 40% 0.61 4.82  35% 0.55 5.40
 60% 1.92 8.72 Prob. of subs. treatment in presumptive arm (10.2%)
 80% 9.72 32.03  2% 0.55 4.20
Sensitivity of mRDT (92%)  20% 0.55 3.39
 70% 0.28 4.61  35% 0.55 2.71
 85% 0.48 4.04 ACT price
 100% 0.63 3.61  30% decrease 1.02 4.30
Specificity of mRDT (63%)  40% decrease 1.18 4.46
 50% 0.98 4.75  50% decrease 1.34 4.61
 70% 0.37 3.44 mRDT price (US$0.70)
 90% 0.00 2.63  30% decrease -0.08 3.20
 100% -0.14 2.33  40% decrease -0.29 2.99
Adherence to negative mRDT (99%)  50% decrease -0.50 2.78
 40% 2.49 7.61 Discount rate (3%)
 60% 1.56 5.81  1% 0.56 3.84
 80% 0.96 4.63  7% 0.54 3.82
Change in number of customers in mRDT arm  10% 0.53 3.81
 40% lower 2.21 5.49 Com. sens., training and intense sup. (every 5 years)
 40% higher -0.16 3.12  Every 3 years 0.49 3.77
 80% higher -0.55 2.73  Every 7 years 0.58 3.86
 100% higher -0.69 2.59 Opportunity cost per day (US$1.2)
Change in number of customers in presumptive arm  US$0.4 0.55 3.26
 40% lower -1.23 2.05  US$0.8 0.55 3.54
 40% higher 1.32 4.60  US$1.6 0.55 4.11
 80% higher 1.74 5.02  US$2.0 0.55 4.39
 100% higher 1.89 5.17  US$2.5 0.55 4.75

& Actual parameter value observed in the trial [24] is shown in parenthesis.