Table 2

Estimates of Laboratory Resources, Productivity Levels, and Costs

India

Kenya

Peru

South Africa

Thailand

Source

Cervical Cytology Laboratory

Staff

Secretary (samples/week)

600

600

600

600

600

(1)

Secretary Wage (I$/hr)

1.48

2.31

2.57

4.06

2.29

(2)

Stainer (samples/week)

1,200

1,200

1,200

1,200

1,200

(1)

Stainer Wage (I$/hr)

1.48

2.31

2.57

4.06

2.29

(2)

Prep Tech (samples/week)

400

400

400

400

400

(1)

Prep Tech Wage (I$/hr)

1.65

n/a

2.57

4.29

2.29

(2)

Cytotechnician (samples/week)

200

200

200

200

200

(1)

Cytotechnician Wage (I$/hr)

2.47

n/a

5.65

5.71

3.48

(2)

Senior Cytotechnologist (samples/week)

1,200

1,200

1,200

1,200

1,200

(1)

Senior Cytotechnologist Wage (I$/hr)

4.94

5.39

12.52

14.24

4.25

(2)

Cytopathologist (samples/week)

1,200

1,200

1,200

1,200

1,200

(1)

Cytopathologist Wage (I$/hr)

8.23

11.55

12.92

18.09

5.97

(2)

Equipment

Microscope (I$)

7,000

7,000

7,000

7,000

7,000

(1)

Microscopy Annuity Factor

2.8286

2.8286

2.8286

2.8286

2.8286

(1)

Cost Estimate

Staff Costs (I$)

1.25

1.35

2.49

3.05

1.49

Equipment/Supplies Costs (I$)

0.32

0.32

0.32

0.32

0.32

Total Cost

1.57

1.67

2.81

3.37

1.81

Total Cost (productivity 33%, equipment 100%)

2.82

3.02

5.30

6.42

3.30

Total Cost (productivity 200%, equipment 100%)

0.73

0.76

1.14

1.32

0.81

HPV DNA Laboratory

Staff

Secretary (samples/week)

450

450

450

450

450

(1)

Secretary Wage (I$/hr)

1.48

2.31

2.57

4.06

2.29

(2)

Lab Tech (samples/week)

450

450

450

450

450

(1)

Lab Tech Wage (I$/hr)

2.14

2.77

5.65

4.32

3.48

(2)

Pathologist (samples/week)

4,500

4,500

4,500

4,500

4,500

(1)

Pathologist Wage (I$/hr)

8.23

11.55

12.92

18.09

5.97

(2)

Supplies

HPV Kit (I$)

5.33

5.33

5.33

5.33

5.33

(3)

Equipment

HPV Equipment (including Microplate Luminometer) (I$)

35,000

35,000

35,000

35,000

35,000

(1)

HPV Equipment annuity factor

4.5797

4.5797

4.5797

4.5797

4.5797

(1)

Pipette Tips/Multichannel racks (I$)

1,800

1,800

1,800

1,800

1,800

(1)

Pipette Tips/Multichannel racks annuity factor

2.8286

2.8286

2.8286

2.8286

2.8286

(1)

Cost Estimate

Staff Costs (I$)

0.39

0.55

0.85

0.91

0.57

Equipment/Supplies Costs (I$)

5.68

5.68

5.68

5.68

5.68

Total Cost

6.07

6.23

6.53

6.59

6.25

Total Cost (productivity 100%, equipment 200%)

11.76

11.92

12.22

12.28

11.94

Total Cost (productivity 100%, equipment 33%)

2.27

2.43

2.73

2.79

2.45

(1) Expert Panel standardization assumptions; (2) Primary country-specific data from national pay scales and demonstration projects; (3) International price for public sector developing countries from Digene Corporation

Goldhaber-Fiebert and Goldie Cost Effectiveness and Resource Allocation 2006 4:13   doi:10.1186/1478-7547-4-13