Table 3

Estimate Validation: Laboratory Resources, Productivity Levels, and Costs

India

Kenya

Peru

South Africa

Thailand

Sources

Cytology Laboratory Inputs

Cytotechnician Salary (I$/hr)

2.47

3.48

5.65

5.71

3.48

(1)

Cytopathologist Salary (I$/hr)

8.23

11.55

12.92

18.09

5.97

(1)

Cytotechnician slides per hour

2.5

2.5

2.5

2.5

2.5

(2)

Cytopathologist slide review time (hr)

0.067

0.067

0.067

0.067

0.067

(2)

Abnormal slide (%)

0.120

0.120

0.120

0.120

0.120

(2)

Normal slides reviewed (%)

0.100

0.100

0.100

0.100

0.100

(2)

Square meter per laboratory

77.78

77.78

77.78

77.78

77.78

(2)

Facility cost per square meter ratio with US cost as base

0.057

0.025

0.091

0.041

0.030

(3)

Facility cost per year (I$)

6,735

2,925

10,765

4,875

3,540

Samples processed per year

28,800

28,800

28,800

28,800

28,800

Cost of supplies (I$)

0.25

0.25

0.25

0.25

0.25

(2)

Cost Estimate

Staff Costs

1.10

1.55

2.40

2.53

1.47

Facilities, Equipment, and Supplies Costs

0.48

0.35

0.62

0.42

0.37

Total Cost

1.58

1.90

3.02

2.95

1.84

(1) Primary country-specific data from national pay scales and demonstration projects; (2) Expert Panel standardization assumptions and Bishop's US cytology estimation method; (3) Expert Panel standardization assumptions, WHO-CHOICE data, and Bishop's US cytology estimation method

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