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Table 4 Cost for NTEP for implementation of STEPS

From: STEPS – a patient centric and low-cost solution to ensure standards of TB care to patients reaching private sector in India

Cost Category

Description

Average cost for 12 months in USD

1. Staff Cost

Salary of PPM Lead and 5 city officers of Intermediary agency

49,000

Field Expenses of PPM Lead and 5 city officers of Intermediary agency

31,000

2. Training & Sensitisation

Training, Retraining and Sensitisation of doctors and STEPS Leads

27,788

3. Diagnosis

Specimen pick up transportation from private hospitals to GeneXpert site

1669

14 additional Lab Technician posted at GeneXpert site to handle extra specimens from private sector

30,333

6604 GeneXpert cartridge for testing additional samples from private sector*

110,066

10,000 Number of Chest X ray Reimbursed for diagnosing TB to private hospitals*

27,776

4. Treatment

2000 additional patients from private sector put on NTEP drugs*

28,694

Air born Infection Control Kits provided*

5555

5. Administrative Cost

Meetings of Coalition and Consortiums

7778

Additional expenses on Supervision, Monitoring & Evaluation

1388

Printing of directory, Patient information booklets, IEC materials

6944

Additional expense for supply chain management

10,933

6. Incentive

Additional Incentive for Notification to private hospitals

12,597

Additional incentive for providing outcome to private hospitals

24,194

Additional Incentive to the patient getting treatment from private sector

36,250

Total Additional Cost from NTEP

411,965

Total Additional Cost (programmatic cost and cost for patient entitlements) per additional patient with successful treatment outcome

136

Additional Programmatic Cost (deducting cost for patient entitlements) per additional patient with successful treatment outcome

67