Table 2 Costs comparison (in Euros) between the four scenarios, estimated on the 189 episodes of illness (October 2008 and January 2009).
Age distribution (n) | Cost of RDT & ACT | Total cost (study sample) | Cost per 1000 EI* | cost difference with scenario3 (per 1000 EI) & 95%CI | |
|---|---|---|---|---|---|
Scenario 1: Presumptive treatment of all the febrile EI* | |||||
(number of RDT = 0, number of ACT course = 94) | |||||
RDT cost | 0 | ||||
ACT cost | 66,68 | 66,68 | 352,8 | - 336,3 [-320,0 ; -355,0] | |
1-6 y | 70 | 32,9 | |||
7-13 y | 9 | 7,83 | |||
> 13 y | 15 | 25,95 | |||
Scenario 2: Presumptive treatment of EI* according to the healthcare provider's feeling | |||||
(number of RDT = 0, number of ACT course = = 95) | |||||
RDT cost | 0 | ||||
ACT cost | 68,35 | 68,35 | 361,6 | - 327,5[ -311,2 ; -346,2] | |
1-6 y | 68 | 31,96 | |||
7-13 y | 12 | 10,44 | |||
> 13 y | 15 | 25,95 | |||
Scenario 3: Treatment of all EI* RDT positive | |||||
(number of RDT = 189, number of ACT course = 15 [12 ; 19]) | |||||
RDT cost | 115,29 | 689,10 | |||
ACT cost | 14,95 | 130,24 | [672,8 ; 707,8] | Reference. | |
1-6 y | 6 | 2,82 | |||
7-13 y | 4 | 3,48 | |||
> 13 y | 5 | 8,65 | |||
Scenario 4: Treatment of febrile EI* RDT positive | |||||
(number of RDT = 94, number of ACT course = 8 [6 ;11]) | |||||
RDT cost | 57,95 | 335,3 | |||
ACT cost | 5,42 | 63,37 | [328,0 ; -346,0] | - 353,8 [-326.8 ; -379,8] | |
1-6 y | 6 | 2,82 | |||
7-13 y > 13 y | 1 1 | 0,87 1,73 | |||
Scenario 5: Treatment of all children ≤ 6 and of all episodes of illness RDT positive for patients > 6 | |||||
(number of RDT = 91, number of ACT course = 107 [105 ; 109]) | |||||
RDT cost | 55.51 | 601,6 | |||
ACT cost | 58.19 | 113.7 | [587,8 ; 615.3] | -87.5 [-57.5 ; -120.0]. | |
1-6 y | 98 | 46.06 | |||
7-13 y | 4 | 3,48 | |||
> 13 y | 5 | 8,65 | |||