Table 5

Mean annual costs (standard deviation) by IDSR activity* per health structure levels in Burkina Faso, Eritrea and Mali: 2002 – 2005

Country

Health structure

Surveillance activities

Response activities

Support activities




Detection

Report

Analysis

Feedback

Investigation§

Treatment

Evaluation

Others†


Burkina Faso¶

Region

3,257

(648)

5,158

(1,567)

2,611

(791)

2,410

(784)

7,647

(1,216)

12,391

(1,331)

2,161

(420)

265

(85)

District

2,248

(917)

1,485

(417)

821

(271)

601

(142)

1,971

(351)

2,924

(309)

721

(46)

143

(60)

Primary health care center

305

(47)

238

(12)

146

(64)

130

(16)

164

(14)

129

(14)

57

(37)

69

(71)

Eritrea

Central

120,260

(33,084)

52,510

(26,766)

17,536

(8,013)

14,539

(4,660)

54,804

(6,442)

178,760

(50,404)

29,998

(11,216)

40,844

(17,325)

Province

15,323

(8,064)

17,081

(6,739)

5,953

(2,596)

2,901

(1,035)

7,427

(3,507)

10,137

(2,670)

2,402

(629)

8,697

(2,842)

District

3,702

(721)

2,495

(671)

1,225

(171)

542

(52)

1,059

(206)

1,660

(269)

40

(4)

1,263

(742)

Mali

Region

441

(180)

3,989

(2,183)

1,557

(216)

2,736

(815)

3,877

(216)

12,430

(2,961)

515

(520)

16,348

(4,791)

District

5,629

(1,940)

1,268

(456)

723

(861)

395

(171)

334

(70)

4,002

(2,077)

212

(160)

1,378

(648)

Primary health care center

98

77

57

(58)

1

(1)

0

(0)

7

(14)

794

(573)

0

(0)

224

(109)


* Costs per IDSR activity were converted to 2002 US dollar equivalent. To calculate the cost of each resource per IDSR activity, we multiplied the estimated total IDSR cost of that resource by the proportion of personnel time (or actual amount of resource) allocated to that activity relative to all IDSR activities.

§ Investigation, verification and laboratory confirmation of suspected cases.

† Other support activities include training, supervision, communication and coordination.

¶Laboratory and treatment costs in Burkina Faso were extrapolated from the average annual per capita costs of laboratory and treatment for Eritrea and Mali and the average population per health structure level in Burkina Faso (see Table 2)

Somda et al. Cost Effectiveness and Resource Allocation 2009 7:1   doi:10.1186/1478-7547-7-1

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