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Volume 27, Number 8—August 2021
Research

Costs and Outcomes of Integrated Human African Trypanosomiasis Surveillance System Using Rapid Diagnostic Tests, Democratic Republic of the Congo

Rian SnijdersComments to Author , Alain Fukinsia, Yves Claeys, Epco Hasker, Alain Mpanya, Erick Miaka, Filip Meheus, and Marleen Boelaert1
Author affiliations: Swiss Tropical and Public Health Institute, Basel, Switzerland (R. Snijders); University of Basel, Basel (R. Snijders); Institute of Tropical Medicine, Antwerp, Belgium (R. Snijders, Y. Claeys, E. Hasker, M. Boelaert); Programme National de Lutte contre la Trypanosomiase Humaine Africaine, Kinshasa, Democratic Republic of the Congo (A. Fukinsia, A. Mpanya, E. Miaka); International Agency for Research on Cancer, Lyon, France (F. Meheus)

Main Article

Table 2

Annual economic costs of passive human African trypanosomiasis screening in Mosango and Yasa Bonga health districts, Democratic Republic of the Congo*

Cost category and subcategory Description Cost, USD
Total, %
Mosango Yasa Bonga Total
Capital equipment 18,008 25,051 43,060 25
Equipment Confirmation equipment 4,734 6,627 11,360 7
  Laboratory equipment 2,539 3,554 6,093 4
  Nonmedical equipment 2,195 3,073 5,268 3
Training HAT diagnosis training 13,275 18,424 31.699 19
  Screening 5,079 6,950 12,029 7

  Microscopy
8,196
11,474
19,670
12
Annual recurrent costs 69,243 56,764 126,008 75
Laboratory and medical supplies HAT tests 7,487 5,449 12,262 7
  RDTs 7,388 4,874 12,262 7
  Microscopy 99 575 673 0.4
Patient care Staging and inpatient and outpatient care 413 1,601 2,014 1
HR and infrastructure use Execution RDT 36,535 24,102 60,637 36
Management
Management and supervision
24,808
25,613
50,421
30
Total

87,251
81,816
169,067
100
Cost per person screened 7.95 11.29 9.28
Cost per case diagnosed and treated
21,813 3,557 6,262

*HAT, human African trypanosomiasis; HR, human resources; RDT, rapid diagnostic test.

Main Article

1Deceased.

Page created: June 10, 2021
Page updated: July 18, 2021
Page reviewed: July 18, 2021
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