Table 3.
Mean | Source | |
---|---|---|
QALY weights | ||
| ||
Healthy | 1 | 22 |
Healthy, with past treatment (non-MDR or MDR) | 0.942 | 16 |
Latent DS TB | 1 | 22 |
Latent MDR TB | 1 | 22 |
Latent with past treatment (non-MDR or MDR) | 0.942 | 16 |
Active DS TB | 0.663 | 17 |
Active DS TB in RNTCP Cat I | 0.843 | 32 |
Active DS TB in RNTCP Cat II | 0.843 | 32 |
Active MDR TB | 0.663 | 17 |
Active MDR TB in RNTCP Cat I | 0.663 | 17 |
Active MDR TB in RNTCP Cat II | 0.663 | 17 |
Active MDR TB in RNTCP Cat IV | 0.753 | * |
Dead | 0 | |
| ||
Costs, in 2013 USD | ||
Treatment Costs** | ||
| ||
Public System | ||
Nonmedical Public Clinic Patient Costs, Monthly | 6.20 | 8 |
Fixed Costs | ||
Sputum Smear Cost | 4.89 | 18 |
DST cost | 26.04 | 18 |
CAT I/III Monthly Costs | ||
Drugs | 3.53 | 11,19,20 |
Other Clinic Costs | 31.08 | 33 |
CAT II Monthly Costs | ||
Drugs | 8.01 | 11,19,20 |
Other Clinic Costs | 31.08 | 33 |
CAT IV Monthly Costs | ||
Drugs, IP (first 6 months) | 84.92 | 11,19,20 |
Drugs, CP (following 18 months) | 67.50 | 11,19,20 |
Other Clinic Costs | 31.08 | 33 |
Private System | ||
Private Treatment Direct Costs, Monthly | 68.18 | 8 |
| ||
Intervention Costs | ||
| ||
PPM referral (includes per-person program & monitoring costs) | 34.03 | 34 |
GeneXpert | 18.30 | 18 |
| ||
Non-TB Health Related Costs | ||
| ||
Monthly Per Person, Non-TB Health Expenses | 23 | |
Age | Males | |
0–9 | 0.20 | |
10–19 | 0.17 | |
20–29 | 1.20 | |
30–39 | 1.59 | |
40–49 | 1.62 | |
50–59 | 2.48 | |
60–69 | 3.25 | |
70+ | 4.66 |
Average of no treatment and CAT I (effective treatment for MDR but toxic)
A full public clinic treatment regimen includes two sputum smears, one DST, and monthly drug and other clinic costs (sputum smears are replaced by DST in Cat IV) for total costs of 183.33, 264,97, and 3649.58 for category I, II, and IV treatment respectively. See Appendix Table S3 for details.