دورية أكاديمية
Cost of SARS-CoV-2 self-test distribution programmes by different modalities: a micro-costing study in five countries (Brazil, Georgia, Malaysia, Ethiopia and the Philippines)
| العنوان: | Cost of SARS-CoV-2 self-test distribution programmes by different modalities: a micro-costing study in five countries (Brazil, Georgia, Malaysia, Ethiopia and the Philippines) |
|---|---|
| المؤلفون: | Cheryl C Johnson, Sara Keller, Sonjelle Shilton, Ineke Spruijt, Brooke E Nichols, Joshua M Chevalier, Megan A Hansen, Tom Ockhuisen, Sarah J Girdwood, Nkgomeleng A Lekodeba, Paula del Rey-Puech, Elena Marban-Castro, Guillermo Zohar Martínez-Pérez, Muhammad Radzi Abu Hassan, Vladimir Getia, Catiuscia Weinert-Mizuschima, Maria Isabelle Tenorio Bezerra, Lensa Chala, Robert Leong, Remilekun Peregino |
| المصدر: | BMJ Open, Vol 14, Iss 4 (2024) |
| بيانات النشر: | BMJ Publishing Group, 2024. |
| سنة النشر: | 2024 |
| المجموعة: | LCC:Medicine |
| مصطلحات موضوعية: | Medicine |
| الوصف: | Objective Diagnostic testing is an important tool to combat the COVID-19 pandemic, yet access to and uptake of testing vary widely 3 years into the pandemic. The WHO recommends the use of COVID-19 self-testing as an option to help expand testing access. We aimed to calculate the cost of providing COVID-19 self-testing across countries and distribution modalities.Design We estimated economic costs from the provider perspective to calculate the total cost and the cost per self-test kit distributed for three scenarios that differed by costing period (pilot, annual), the number of tests distributed (actual, planned, scaled assuming an epidemic peak) and self-test kit costs (pilot purchase price, 50% reduction).Setting We used data collected between August and December 2022 in Brazil, Georgia, Malaysia, Ethiopia and the Philippines from pilot implementation studies designed to provide COVID-19 self-tests in a variety of settings—namely, workplace and healthcare facilities.Results Across all five countries, 173 000 kits were distributed during pilot implementation with the cost/test distributed ranging from $2.44 to $12.78. The cost/self-test kit distributed was lowest in the scenario that assumed implementation over a longer period (year), with higher test demand (peak) and a test kit price reduction of 50% ($1.04–3.07). Across all countries and scenarios, test procurement occupied the greatest proportion of costs: 58–87% for countries with off-site self-testing (outside the workplace, for example, home) and 15–50% for countries with on-site self-testing (at the workplace). Staffing was the next key cost driver, particularly for distribution modalities that had on-site self-testing (29–35%) versus off-site self-testing (7–27%).Conclusions Our results indicate that it is likely to cost between $2.44 and $12.78 per test to distribute COVID-19 self-tests across common settings in five heterogeneous countries. Cost-effectiveness analyses using these results will allow policymakers to make informed decisions on optimally scaling up COVID-19 self-test distribution programmes across diverse settings and evolving needs. |
| نوع الوثيقة: | article |
| وصف الملف: | electronic resource |
| اللغة: | English |
| تدمد: | 2023-0788 2044-6055 43659500 |
| العلاقة: | https://bmjopen.bmj.com/content/14/4/e078852.fullTest; https://doaj.org/toc/2044-6055Test |
| DOI: | 10.1136/bmjopen-2023-078852 |
| الوصول الحر: | https://doaj.org/article/b7d8db1b4b0b43659500e80206321436Test |
| رقم الانضمام: | edsdoj.b7d8db1b4b0b43659500e80206321436 |
| قاعدة البيانات: | Directory of Open Access Journals |
Full Text Finder | تدمد: | 20230788 20446055 43659500 |
|---|---|
| DOI: | 10.1136/bmjopen-2023-078852 |