Cost of Providing Hepatitis B and C Screening to Mahama Refugee Camp, Rwanda
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.