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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
immunology and microbiology
Cost savings with rapid diagnostic tests for malaria in low-transmission areas: Evidence from Dar es Salaam, Tanzania
American Journal of Tropical Medicine and Hygiene, Volume 83, No. 1, Year 2010
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Description
Rapid diagnostic tests (RDTs) for malaria may help rationalize antimalarial drug use. However, the economic effects of these tests may vary. Data on costs were collected from 259 patients in 6 health facilities by using exit and in-charge interviews and record reviews during a trial of RDT rollout in Dar es Salaam, Tanzania. The RDTs decreased patient expenditure on drugs (savings = U.S. $0.36; P = 0.002) and provider drug costs (savings = U.S. $0.43; P = 0.034) compared with control facilities. However, RDT introduction did not significantly reduce patients' overall expenditures (U.S. $1.02,95% confidence interval [CI] = $0.76-$1.36 versus U.S. $1.33 95% CI = $0.99-$1.77) and may increase total provider costs (U.S. $3.63,95% CI = $3.40-$3.89 versus U.S. $2.32,95% CI = $1.99-$2.69) compared with control facilities. Clinician's compliance with test results was higher with RDTs than with routine microscopy (95% versus 82%; P = 0.002). The RDTs reduced drug costs in this setting but did not offset the cost of the tests, although they also resulted in non-monetary benefits, including improved management of patients and increased compliance with test results. Copyright © 2010 by The American Society of Tropical Medicine and Hygiene.
Authors & Co-Authors
Yukich, Joshua O.
United States, New Orleans
Tulane University School of Public Health and Tropical Medicine
D'Acremont, Valérie
Switzerland, Basel
Universitat Basel
Kahama, Judith
Switzerland, Basel
Universitat Basel
Tanzania, Dar es Salaam
Dar es Salaam
Swai, Ndeniria
Tanzania, Dar es Salaam
Dar es Salaam
Lengeler, Christian H.
Switzerland, Basel
Universitat Basel
Statistics
Citations: 55
Authors: 5
Affiliations: 3
Identifiers
Doi:
10.4269/ajtmh.2010.09-0632
ISSN:
00029637
Research Areas
Health System And Policy
Infectious Diseases
Study Locations
Tanzania