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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
immunology and microbiology
Costs of cervical cancer screening and treatment using visual inspection with acetic acid (VIA) and cryotherapy in Ghana: The importance of scale
Tropical Medicine and International Health, Volume 16, No. 3, Year 2011
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Description
Objectives To estimate the incremental costs of visual inspection with acetic acid (VIA) and cryotherapy at cervical cancer screening facilities in Ghana; to explore determinants of costs through modelling; and to estimate national scale-up and annual programme costs. Methods Resource-use data were collected at four out of six active VIA screening centres, and unit costs were ascertained to estimate the costs per woman of VIA and cryotherapy. Modelling and sensitivity analysis were used to explore the influence of observed differences between screening facilities on estimated costs and to calculate national costs. Results Incremental economic costs per woman screened with VIA ranged from 4.93US$ to 14.75US$, and costs of cryotherapy were between 47.26 US$ and 84.48 US$ at surveyed facilities. Under base case assumptions, our model estimated the costs of VIA to be 6.12 US$ per woman and those of cryotherapy to be 27.96 US$ Sensitivity analysis showed that the number of women screened per provider and treated per facility was the most important determinants of costs. National annual programme costs were estimated to be between 0.6 and 4.0million US$ depending on assumed coverage and adopted screening strategy. Conclusion When choosing between different cervical cancer prevention strategies, the feasibility of increasing uptake to achieve economies of scale should be a major concern. © 2011 Blackwell Publishing Ltd.
Available Materials
https://efashare.b-cdn.net/share/pmc/articles/PMC3429861/bin/tmi0016-0379-SD1.doc
https://efashare.b-cdn.net/share/pmc/articles/PMC3429861/bin/tmi0016-0379-SD2.doc
Authors & Co-Authors
Quentin, Wilm
Unknown Affiliation
Adu-Sarkodie, Yaw A.
Unknown Affiliation
Terris-Prestholt, Fern
Unknown Affiliation
Legood, Rosa
Unknown Affiliation
Opoku, Baafour Kofi
Unknown Affiliation
Mayaud, Philippe C.
Unknown Affiliation
Statistics
Citations: 46
Authors: 6
Affiliations: 5
Identifiers
Doi:
10.1111/j.1365-3156.2010.02722.x
ISSN:
13602276
e-ISSN:
13653156
Research Areas
Cancer
Health System And Policy
Study Locations
Ghana
Participants Gender
Female