Figures & Tables
Figures
- FIGURE 1
Flow Chart for Mass Screening Campaign for Hepatitis B and Hepatitis C in Mahama Refugee Camp, Rwanda
Abbreviations: Anti-HCV, hepatitis C antibody; HBV, hepatitis B virus; HbsAg, hepatitis B surface antigen; HCV, hepatitis C virus; RDT, rapid diagnostic test; VL+, detectable viral load; VL-, undetectable viral load.
aA positive HbsAg RDT reflects a previous exposure to HBV.
bA detectable HBV VL of >20 copies/ml (HBV DNA VL+) reflects an ongoing infection.
cA positive anti-HIV RDT reflects a previous exposure to HCV.
dA detectable HCV VL of >15 copies/ml (HCV DNA VL+) reflects an ongoing infection.
- FIGURE 2
Number of Clients Screened for Hepatitis B and Hepatitis C Per Day in Mahama Refugee Camp, Rwandaa
aAverage clients screened per day was 946. Total clients screened was 26,498.
- FIGURE 3
Hepatitis B and Hepatitis C Screening Coverage by Sex and Age, in Mahama Refugee Camp, Rwanda
Tables
Quantity Unit Cost, US$ Total, US$ Administration and Overheada 12,042.21 Screening Staff Clinical staff 40b 646.95 51,756.17 Community health worker 40c 3.26 3,652.17 Security guard 3c 3.26 273.91 Subtotal 55,682.26 Supplies and materials HBV rapid diagnostic tests 27,192 1.10 29,911.20 HCV rapid diagnostic tests 27,192 1.10 29,911.20 Laboratory request form 28,494 0.03 774.29 Alcohol swabs 25,894 <0.01 225.17 Blood lancet 35,420 <0.01 308.00 Cotton rolls (500 mg) 17 1.52 25.87 Gloves 36,696 0.02 777.80 Needles 1,679 0.04 63.88 EDTA tube 1,679 0.05 91.25 Waste bags 280 0.65 182.61 Dust bins 10 41.85 418.48 Safety boxes 58 3.04 176.52 Cooler boxes 2 25.00 50.00 Subtotal 62,916.26 Viral load testingd 21,445.65 Training 2,418.48 Launch materials 3,550.00 Transporte 13,184.15 Data collection tabletsf 558.46 Refreshment 5,539.13 Total cost of program 177,336.60 Total cost per person screened 6.69 Total cost per case detected 136.11 Abbreviations: HBV, hepatitis B virus; HCV, hepatitis C virus; EDTA, ethylene diamine tetra-acetic acid.
↵a Cost of administration and overhead was estimated by allocating annual gross of salaries of infectious disease team members proportionally to the total number of days each permanent staff member dedicated to managing this project.
↵b 2 months' duration.
↵c 28 days' duration.
↵d In Rwanda, the unit cost of each viral load test is US$16.30 (15,000 RWF). Some additional incentives were provided to laboratory technicians at the hospital to compensate them for additional labor during the campaign.
↵e Annualized cost of a vehicle assumes a purchase price of US$76,086.95, an annual discount rate of 0.1, and a useful lifespan of 15 years.
↵f Annualized cost of tablet assumes a purchase price of US$350, an annual discount rate of 0.1, and a useful lifespan of 2 years.
