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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