Table 1. Model inputs.
Parameter | Parameter Description | Population (patients) | ||||
---|---|---|---|---|---|---|
Pop | Population | 4391 | ||||
Cost Parameter | Parameter Description | Mean ($) * | SD ($) | 95% CI | Distribution (α, β) + | Source |
cTEST | Cost of the POCCRP test kit | 1.00 | 0.20 | 0.61–1.39 | Gamma (25, 0.04) | [27] |
cTRAIN | Training to administer and interpret test | 0.03 | 0.01 | 0.02–0.04 | Gamma (25, 0.001) | [41] |
cOPD | Outpatient services delivery cost | 0.28 | 0.06 | 0.25–0.31 | Gamma (376.83, 0.001) | [41] |
cDISP | Dispensary cost at healthcare facility | 1.33 | 0.10 | 1.29–1.38 | Gamma (2.31, 0.58) | [41] |
cOPEapp | Patient out of pocket expenditure—appropriate treatment | 3.82 | 12.32 | 2.95–4.65 | Gamma (51.64, 33.61) | [41] |
cPLTapp | Opportunity cost of patient’s time—appropriate treatment | 3.20 | 4.47 | 2.89–4.74 | Gamma (0.51, 0.07) | [41] |
cCLTapp | Opportunity cost of carer’s time—appropriate treatment | 1.44 | 2.71 | 1.24–1.65 | Gamma (151.73, 0.009) | [41] |
cOPEnot | Patient out of pocket expenditure—inappropriate treatment | 5.61 | 17.16 | 4.32–6.91 | Gamma (14.77, 0.38) | [41] |
cPLTnot | Opportunity cost of patient’s time—inappropriate treatment | 4.15 | 4.90 | 3.78–4.52 | Gamma (99.01, 0.04) | [41] |
cCLTnot | Opportunity cost of carer’s—inappropriate treatment | 1.85 | 2.42 | 1.67–2.03 | Gamma (80.67, 0.02) | [41] |
cANTI | Cost per full course of antibiotics | 0.12 | 0.02 | 0.11–0.12 | Gamma (25, 0.005) | [41] |
cAMR | Cost of AMR to society per full course of antibiotics | 4.39 | 0.88 | 2.67–6.11 | Gamma (25, 0.18) | [42] |
Probability Parameter | Parameter Description | Probability * | 95% CI | Distribution (α, β) + | Source | |
pBac | Prevalence of bacterial infection among malaria-negative patients | 0.10 | 0.09–0.10 | Beta (15, 142) | [14] | |
pDIAGanti | Probability of being prescribed antibiotic under current clinical practice | 0.56 | 0.56–0. 56 | Beta (2479, 1912) | [30] | |
pSENSpoccrp | Sensitivity of POCCRP test for detection of CRP concentration at 10 mg/L | 0.95 | 0.87–0.97 | Beta (86, 5) | [22] | |
pSPECpoccrp | Specificity of POCCRP test for non-detection of CRP concentration of less than 10 mg/L | 0.98 | 0.92–1.00 | Beta (75, 2) | [22] | |
pBACcrp>10 | Probability of bacterial infection patient having CRP concentration of 10 mg/L | 0.95 | 0.92–0.97 | Beta (404, 21) | [21] | |
pOTHcrp<10 | Probability of non-bacterial infection patient having CRP concentration of less than 10 mg/L | 0.49 | 0.46–0.53 | Beta (464, 483) | [21] |
* Value used for the deterministic model.
+ Distribution for PSA.
Alpha (α) and Beta (β) values for Gamma distributions calculated as below (where denotes mean and denotes standard error of the data):
Alpha (α) and Beta (β) values for Beta distributions are assigned based on counts of events of interest as a proportion of total sample. Standard error () is calculated as below: