Key Stage | Step No. | Step Description | Facility / Stage | |||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Banket District Hospital | Chinhoyi Provincial Hospital | Gwanda Provincial Hospital | Maphisa District Hospital | Unit Cost Hospitals | Dzivar-asekwa Clinic | Mzilikazi Clinic | Princess Margeret Clinic | Rutsanana Clinic | Average cost (clinics) | Average cost (all health facilities) | Unit Cost Tas4TB | |||
Diagnostic | Step 1(a) | Demand Creation (only applicable for Mobile/Targeted Active Screening - TAS4TB) | – | – | – | – | – | – | – | – | – | – | – | 89.21 |
Step 1(b) | Registration (Diagnostic) | 0.12 | 0.27 | 0.15 | 0.11 | 0.16 | 0.72 | 0.24 | 0.29 | 0.39 | 0.41 | 0.29 | 0.17 | |
Step 2 | Vital signs | 0.38 | 1.15 | 0.25 | 0.35 | 0.53 | 0.54 | 0.69 | 0.53 | 0.60 | 0.59 | 0.56 | 0.27 | |
Step 3(a) | First Consultation | 0.99 | 2.69 | 0.49 | 0.85 | 1.26 | 3.38 | 6.37 | 2.75 | 2.50 | 3.75 | 2.50 | 0.16 | |
Step 3(b) | Co-infection/morbidity testing: HIV Testing Services (HTS) | 2.70 | 5.51 | 2.75 | 1.97 | 3.23 | 3.88 | 11.84 | 11.33 | 2.70 | 7.44 | 5.33 | 1.42 | |
Step 3 (c) | Co-infection/morbidity testing: Diabetes Mellitus Testing Services (DM) | 0.42 | 2.67 | 1.12 | 0.26 | 1.12 | 3.47 | – | – | – | 0.87 | 0.99 | 0.3 | |
Step 4(a) | Laboratory: Sputum Collection | 1.94 | 2.70 | 1.26 | 1.08 | 1.75 | 4.05 | 3.62 | 2.56 | 4.52 | 3.69 | 2.72 | 2.47 | |
Step 4(b) | EHT: Sputum sample transportation (only applicable for sites without diagnostic equipment) | 0.44 | – | 0.28 | 0.30 | 0.26 | – | 14.93 | 9.87 | – | 6.20 | 3.23 | 4.92 | |
Step 5 | Laboratory: Receiving and initial registration of Sputum Specimens | 0.44 | 0.47 | 0.22 | 0.20 | 0.33 | 0.87 | 5.01 | 4.09 | 0.74 | 2.68 | 1.51 | 0.19 | |
Step 6 | Laboratory: Sputum Processing & Recording Results | 17.13 | 16.55 | 20.10 | 16.74 | 17.63 | 15.41 | 24.06 | 24.06 | 13.96 | 19.37 | 18.50 | 19.3 | |
Step 7 | Second Consultation (+ve/−ve sputum results) | 2.00 | 1.55 | 0.25 | 0.64 | 1.11 | 4.37 | 2.10 | 1.23 | 2.75 | 2.61 | 1.86 | .. | |
Step 8 | Chest X-ray (−ve sputum results) | 34.81 | 34.36 | 34.36 | 34.22 | 34.44 | – | 37.07 | 37.07 | – | 18.54 | 26.49 | 33.5 | |
Step 9 | Third Consultation (CXR results) | 0.71 | 3.67 | 1.26 | 0.70 | 1.59 | 9.13 | 6.32 | 7.72 | 7.01 | 7.54 | 4.56 | 0.47 | |
Treatment Initiation | Step 10 (a) | Recording/Reporting (Treatment Initiation - DS TB) | 1.62 | 1.31 | 0.35 | 0.50 | 0.94 | 3.12 | 1.60 | 2.06 | 1.64 | 2.11 | 1.52 | 0.76 |
Step 10 (b) | Consultation (Treatment Initiation - DS TB) | 1.51 | 2.13 | 1.93 | 0.18 | 1.44 | 5.30 | 10.11 | 8.25 | 3.48 | 6.78 | 4.11 | .. | |
Step 11 | Medicines Collection | 0.55 | 0.83 | 0.44 | 0.17 | 0.50 | 1.90 | 2.03 | 4.49 | 1.83 | 2.56 | 1.53 | .. | |
Treatment Follow-Up: No. of visits = 12 | Repeat: Step 10 | Registration (Treatment follow up - DS TB) | 0.92 | 2.08 | 1.69 | 0.77 | 1.37 | 6.60 | 2.86 | 3.33 | 4.34 | 4.28 | 2.82 | .. |
Repeat: Step 2 | Vital signs (Treatment follow up - DS-TB) | 2.71 | 9.53 | 2.77 | 3.09 | 4.53 | 4.72 | 8.09 | 6.10 | 6.78 | 6.42 | 5.47 | .. | |
Repeat: Step 7 | Consultation (Treatment follow up - DS-TB) | 1.28 | 21.38 | 34.65 | 15.03 | 18.08 | 36.90 | 32.29 | 97.70 | 77.16 | 61.01 | 39.55 | .. | |
Repeat: Step 11 | Medicines Collection | 39.59 | 39.04 | 38.62 | 35.22 | 38.12 | 56.12 | 57.60 | 85.48 | 55.29 | 63.62 | 50.87 | .. | |
Recording and Reporting | 13.64 | 10.59 | 3.84 | 3.73 | 7.95 | 35.39 | 18.91 | 23.94 | 19.17 | 24.35 | 16.15 | .. | ||
Treatment Follow Up: No. of sputum test = 2 | Repeat: Step 4(a) | Laboratory: Sputum Collection | 3.86 | 5.32 | 2.48 | 2.13 | 3.45 | 8.08 | 7.19 | 5.01 | 9.03 | 7.33 | 5.39 | .. |
Repeat: Step 4(b) | EHT: Sputum sample transportation (only applicable for sites without diagnostic equipment) | – | – | 0.56 | 0.61 | 0.29 | – | 29.86 | 19.74 | – | 12.40 | 6.35 | .. | |
Repeat: Step 5 | Laboratory: Receiving and initial registration of Sputum Specimens | 0.87 | 0.95 | 0.43 | 0.40 | 0.66 | 1.75 | 10.03 | 8.19 | 1.49 | 5.36 | 3.01 | .. | |
Repeat: Step 6 | Laboratory: Sputum Processing & Recording Results | 80.50 | 82.74 | 82.25 | 85.09 | 82.64 | 83.72 | 85.81 | 85.81 | 83.21 | 84.63 | 83.64 | .. | |
Step (unspe-cified) | Overheads | 37.38 | 24.93 | 32.56 | 34.17 | 32.26 | 37.12 | 37.90 | 37.37 | 35.97 | 37.09 | 34.68 | .. | |
SUMMARY PATIENT COST | ||||||||||||||
Cost of diagnostic | 62.07 | 71.58 | 62.49 | 57.45 | 63.40 | 45.83 | 112.24 | 101.50 | 35.19 | 73.69 | 68.54 | 153.14 | ||
Cost of treatment initiation | 3.67 | 4.27 | 2.72 | 0.84 | 2.88 | 10.32 | 13.73 | 14.80 | 6.94 | 11.45 | 7.16 | .. | ||
Cost of treatment follow up | 180.75 | 196.56 | 199.84 | 180.24 | 189.35 | 270.39 | 290.55 | 372.66 | 292.43 | 306.51 | 247.93 | .. | ||
Cost of treatment (initiation & follow up) | 184.42 | 200.83 | 202.56 | 181.08 | 192.22 | 280.71 | 304.28 | 387.46 | 299.37 | 317.96 | 255.09 | .. | ||
Total Patient Cost per facility | 246.49 | 272.42 | 265.05 | 238.53 | 255.62 | 326.53 | 416.53 | 488.97 | 334.56 | 391.65 | 323.63 | .. |