Table 6 Cost of DS-TB Patient diagnosis and treatment in Zimbabwe, TDABC, 2018

Diagnostic

Step 1(a)

Demand Creation (only applicable for Mobile/Targeted Active Screening - TAS4TB)

–

–

–

–

–

–

–

–

–

–

–

89.21

Step 1(b)

Registration (Diagnostic)

0.12

0.27

0.15

0.11

0.16

0.72

0.24

0.29

0.39

0.41

0.29

0.17

Step 2

Vital signs

0.38

1.15

0.25

0.35

0.53

0.54

0.69

0.53

0.60

0.59

0.56

0.27

Step 3(a)

First Consultation

0.99

2.69

0.49

0.85

1.26

3.38

6.37

2.75

2.50

3.75

2.50

0.16

Step 3(b)

Co-infection/morbidity testing: HIV Testing Services (HTS)

2.70

5.51

2.75

1.97

3.23

3.88

11.84

11.33

2.70

7.44

5.33

1.42

Step 3 (c)

Co-infection/morbidity testing: Diabetes Mellitus Testing Services (DM)

0.42

2.67

1.12

0.26

1.12

3.47

–

–

–

0.87

0.99

0.3

Step 4(a)

Laboratory: Sputum Collection

1.94

2.70

1.26

1.08

1.75

4.05

3.62

2.56

4.52

3.69

2.72

2.47

Step 4(b)

EHT: Sputum sample transportation (only applicable for sites without diagnostic equipment)

0.44

–

0.28

0.30

0.26

–

14.93

9.87

–

6.20

3.23

4.92

Step 5

Laboratory: Receiving and initial registration of Sputum Specimens

0.44

0.47

0.22

0.20

0.33

0.87

5.01

4.09

0.74

2.68

1.51

0.19

Step 6

Laboratory: Sputum Processing & Recording Results

17.13

16.55

20.10

16.74

17.63

15.41

24.06

24.06

13.96

19.37

18.50

19.3

Step 7

Second Consultation (+ve/−ve sputum results)

2.00

1.55

0.25

0.64

1.11

4.37

2.10

1.23

2.75

2.61

1.86

..

Step 8

Chest X-ray (−ve sputum results)

34.81

34.36

34.36

34.22

34.44

–

37.07

37.07

–

18.54

26.49

33.5

Step 9

Third Consultation (CXR results)

0.71

3.67

1.26

0.70

1.59

9.13

6.32

7.72

7.01

7.54

4.56

0.47

Treatment Initiation

Step 10 (a)

Recording/Reporting (Treatment Initiation - DS TB)

1.62

1.31

0.35

0.50

0.94

3.12

1.60

2.06

1.64

2.11

1.52

0.76

Step 10 (b)

Consultation (Treatment Initiation - DS TB)

1.51

2.13

1.93

0.18

1.44

5.30

10.11

8.25

3.48

6.78

4.11

..

Step 11

Medicines Collection

0.55

0.83

0.44

0.17

0.50

1.90

2.03

4.49

1.83

2.56

1.53

..

Treatment Follow-Up: No. of visits = 12

Repeat: Step 10

Registration (Treatment follow up - DS TB)

0.92

2.08

1.69

0.77

1.37

6.60

2.86

3.33

4.34

4.28

2.82

..

Repeat: Step 2

Vital signs (Treatment follow up - DS-TB)

2.71

9.53

2.77

3.09

4.53

4.72

8.09

6.10

6.78

6.42

5.47

..

Repeat: Step 7

Consultation (Treatment follow up - DS-TB)

1.28

21.38

34.65

15.03

18.08

36.90

32.29

97.70

77.16

61.01

39.55

..

Repeat: Step 11

Medicines Collection

39.59

39.04

38.62

35.22

38.12

56.12

57.60

85.48

55.29

63.62

50.87

..

Recording and Reporting

13.64

10.59

3.84

3.73

7.95

35.39

18.91

23.94

19.17

24.35

16.15

..

Treatment Follow Up: No. of sputum test = 2

Repeat: Step 4(a)

Laboratory: Sputum Collection

3.86

5.32

2.48

2.13

3.45

8.08

7.19

5.01

9.03

7.33

5.39

..

Repeat: Step 4(b)

EHT: Sputum sample transportation (only applicable for sites without diagnostic equipment)

–

–

0.56

0.61

0.29

–

29.86

19.74

–

12.40

6.35

..

Repeat: Step 5

Laboratory: Receiving and initial registration of Sputum Specimens

0.87

0.95

0.43

0.40

0.66

1.75

10.03

8.19

1.49

5.36

3.01

..

Repeat: Step 6

Laboratory: Sputum Processing & Recording Results

80.50

82.74

82.25

85.09

82.64

83.72

85.81

85.81

83.21

84.63

83.64

..

Step (unspe-cified)

Overheads

37.38

24.93

32.56

34.17

32.26

37.12

37.90

37.37

35.97

37.09

34.68

..

62.07

71.58

62.49

57.45

63.40

45.83

112.24

101.50

35.19

73.69

68.54

153.14

3.67

4.27

2.72

0.84

2.88

10.32

13.73

14.80

6.94

11.45

7.16

..

180.75

196.56

199.84

180.24

189.35

270.39

290.55

372.66

292.43

306.51

247.93

..

184.42

200.83

202.56

181.08

192.22

280.71

304.28

387.46

299.37

317.96

255.09

..

246.49

272.42

265.05

238.53

255.62

326.53

416.53

488.97

334.56

391.65

323.63

..