Table 2.
Cumulative costs in different arms of cost-effectiveness model for India
| Type of cost | Costs (in millions) | Incremental costs (in millions) | ||||||||
|---|---|---|---|---|---|---|---|---|---|---|
| INR | USD | INT. $ | LL (INR) | UL (INR) | INR | USD | INT. $ | LL (INR) | UL (INR) | |
| Disposable (counterfactual) | ||||||||||
| Syringesa | 70,270 | 1081 | 3253 | 40,682 | 190,029 | – | – | – | – | – |
| Biowaste Management | 84 | 1.30 | 3.90 | – | – | – | – | – | – | – |
| Treatmentb | 98,527 | 1516 | 4561 | 30,694 | 176,989 | – | – | – | – | – |
| Total | ||||||||||
| Undiscounted | 168,882 | 2598 | 7817 | 91,264 | 317,531 | – | – | – | – | |
| Discounted | 111,271 | 1712 | 5150 | 56,837 | 214,763 | – | – | – | – | |
| RUP | ||||||||||
| Syringes | 286,538 | 4408 | 13,263 | 193,703 | 349,155 | 216,268 | 3327 | 10,011 | 91,691 | 265,104 |
| Training | 2 | 0.03 | 0.09 | – | – | – | – | – | – | – |
| Information Education and Communication (IEC) | 6 | 0.09 | 0.26 | – | – | – | – | – | – | – |
| Biowaste Management | 205 | 3.15 | 9.48 | – | – | 120 | 2 | 6 | – | – |
| Treatment | 4325 | 66.53 | 200.17 | 1491 | 9190 | − 94,203 | − 1449 | − 4360 | − 29,426 | − 169,914 |
| Total | ||||||||||
| Undiscounted | 291,075 | 4478 | 13,473 | 199,170 | 354,067 | 122,193 | 1880 | 5656 | − 32,988 | 201,564 |
| Discounted | 219,276 | 3373 | 10,150 | 138,256 | 271,205 | 108,005 | 1662 | 4999 | − 2568 | 153,493 |
| SIP | ||||||||||
| Syringes | 750,457 | 11,545 | 34,737 | 460,290 | 1146,126 | 680,187 | 10,464 | 31,484 | 371,549 | 1,032,550 |
| Training | 2 | 0.03 | 0.09 | – | – | – | – | – | – | – |
| Information Education and Communication (IEC) | 6 | 0.09 | 0.26 | – | – | – | – | – | – | – |
| Biowaste Management | 93 | 1.43 | 4.29 | – | – | 8 | 0 | 0 | – | – |
| Treatment | 92,804 | 1428 | 4296 | 39,026 | 231,525 | − 5723 | − 88 | − 265 | − 1993 | − 17,123 |
| Total | ||||||||||
| Undiscounted | 843,362 | 12,975 | 39,037 | 552,192 | 1,278,420 | 674,480 | 10,377 | 31,220 | 362,871 | 1,024,639 |
| Discounted | 622,080 | 9570 | 28,795 | 374,133 | 930,330 | 510,810 | 7859 | 23,644 | 263,392 | 754,558 |
| RUP + SIP | ||||||||||
| Syringes | 750,457 | 11,545 | 34,737 | 349,454 | 1,211,036 | 680,187 | 10,464 | 31,484 | 258,418 | 1,093,217 |
| Training | 2 | 0.03 | 0.09 | – | – | – | – | – | – | – |
| Information Education and Communication (IEC) | 6 | 0.09 | 0.26 | – | – | – | – | – | – | – |
| Biowaste Management | 93 | 1.43 | 4.29 | – | – | 8 | 0 | 0 | – | – |
| Treatment | 519 | 7.99 | 24.03 | 174 | 1236 | − 98,008 | − 1508 | − 4108 | − 28,192 | − 178,208 |
| Total | ||||||||||
| Undiscounted | 751,076 | 11,555 | 34,766 | 349,892 | 1,211,948 | 582,194 | 8957 | 26,948 | 153,643 | 1,001,002 |
| Discounted | 567,777 | 8735 | 26,281 | 244,102 | 903,246 | 456,506 | 7023 | 21,131 | 127,635 | 745,537 |
INR Indian National Rupee, USD United States dollar, INT. $ International Dollar, LL lower limit, UL upper limit
aSyringe cost shows cost of disposable/SES syringes for the period from 2017–2036
bTreatment cost shows lifetime cost of treating individuals infected with hepatitis B, hepatitis C and HIV as a result of unsafe injection practices