Table 4 |
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|
Sensitivity analysis: cost per life saved for different values of model parameters |
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|
Parameter values |
Incremental cost effectiveness ratio ($ per life saved) |
|||||
|
Base |
Minus 50% |
Plus 50% |
Low |
High |
Range |
|
|
|
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|
Outcome probabilities |
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|
Death rate within a year without CTC HIV- * |
0.18 |
0.09** |
0.27 |
17502** |
927 |
16576 |
|
Relative risk of death if HIV+, no CTC * |
2 |
1 |
3 |
2300 |
1426 |
874 |
|
Refer to hospital from CTC |
0.059 |
0.030 |
0.089 |
1479 |
2100 |
622 |
|
Death within a year if recover with CTC |
0.0364 |
0.0182 |
0.0546 |
1520 |
2091 |
571 |
|
HIV prevalence* |
0.15 |
0.075 |
0.225 |
1994 |
1575 |
419 |
|
Death during CTC |
0.026 |
0.013 |
0.039 |
1586 |
1978 |
392 |
|
Death rate in hospital |
0.37 |
0.185 |
0.555 |
1608 |
1944 |
337 |
|
Death rate among defaulters |
0.045 |
0.022 |
0.067 |
1703 |
1821 |
118 |
|
Default from CTC |
0.173 |
0.087 |
0.260 |
1721 |
1802 |
82 |
|
Costs |
||||||
|
Weeks of CTC – Recovered |
6.6 |
3.3 |
9.9 |
1419 |
2101 |
682 |
|
RUTF per Kg ($) |
6.20 |
3.10 |
9.30 |
1445 |
2075 |
630 |
|
Mean Kg of RUTF per child per week |
1.90 |
0.95 |
2.85 |
1445 |
2075 |
630 |
|
Valid cost per child ($) |
68.69 |
34 |
103 |
1462 |
2058 |
597 |
|
Hospital cost per day ($) |
41.35 |
20.68 |
62.03 |
1612 |
1908 |
297 |
|
Days in hospital |
14 |
7 |
21 |
1612 |
1908 |
297 |
|
Costs per health centre visit ($) |
4.24 |
2.12 |
6.36 |
1647 |
1873 |
227 |
|
Weeks of CTC – Defaulted |
5.1 |
2.6 |
7.7 |
1699 |
1821 |
123 |
|
Weeks of CTC – Referred |
4.8 |
2.4 |
7.2 |
1740 |
1780 |
39 |
|
Weeks of CTC – Died |
3.6 |
1.8 |
5.4 |
1754 |
1767 |
13 |
|
Community mobilisation per child $ |
1.06 |
0.5 |
1.6 |
1755 |
1765 |
9 |
|
|
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|
* CTC is more cost effective if these parameters are greater. ** note higher mortality with CTC than with no care |
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|
Bachmann Cost Effectiveness and Resource Allocation 2009 7:2 doi:10.1186/1478-7547-7-2 |
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