From: Cost of three models of care for drug-resistant tuberculosis patients in Nigeria
Model A | Model B | Model C | |||||
---|---|---|---|---|---|---|---|
Unit | Frequency in intensive phase | Frequency in continuation phase | Frequency in intensive phase | Frequency in continuation phase | Frequency in intensive phase | Frequency in continuation phase | |
I. DR-TB Diagnostic tests | |||||||
GeneXpert | Test | 1 | – | 1 | – | 1 | – |
Sputum smear | Smear | 1 | – | 1 | – | 1 | – |
Culture – Liquid | Test | 1 | – | 1 | – | 1 | – |
1st and 2nd line DST - Solid culture | Test | 1 | – | 1 | – | 1 | – |
II. Baseline tests & routine laboratory tests | |||||||
X-ray | Test | 2 | 2 | 2 | 2 | 2 | 2 |
ENT consultation | Consult | 1 | – | 1 | – | 1 | – |
Audiometry test | Test | 9 | – | 9 | – | 9 | – |
E, U, Cr | Test | 8 | – | 8 | – | 8 | – |
Thyroid function test | Test | 2 | 2 | 2 | 2 | 2 | 2 |
LFT | Test | 3 | 4 | 3 | 4 | 3 | 4 |
HIV Test | Test | 1 | – | 1 | – | 1 | – |
Pregnancy test | Test | 0.5 | – | 0.5 | – | 0.5 | – |
III. Drugs | |||||||
Pyrazinamide 400 mg | Tablet | 972 | 1488 | 972 | 1488 | 972 | 1488 |
Kanamycin 1 g vial | Vial | 243 | – | 243 | – | 243 | – |
Levofloxacin 250 mg | Caplet | 729 | 1116 | 729 | 1116 | 729 | 1116 |
Prothionamide 250 mg | Tablet | 729 | 1116 | 729 | 1116 | 729 | 1116 |
Cycloserine 250 mg | Capsule | 729 | 1116 | 729 | 1116 | 729 | 1116 |
Pyridoxine 10 mg | Tablet | 729 | 1116 | 729 | 1116 | 729 | 1116 |
IV. Inpatient stay | |||||||
Inpatient hospitalization days | Bed day | 243 | – | 152 | – | – | – |
V. Outpatient consultations and supervision | |||||||
Consultation at treatment center /Monthly clinic visit | Visit | – | 12 | 3 | 12 | 8 | 12 |
Visits to collect medication at DOT center/ DOT at DOT center | Visit | – | 24 | 6 | 24 | 16 | 24 |
Home visit - by DOT officer | Home visit | – | 24 | 91 | 24 | 243 | 24 |
Home visit by DR TB focal person | Home visit | – | 12 | 3 | 12 | 8 | 12 |
Home visit by TBL supervisor | Home visit | – | 12 | 3 | 12 | 8 | 12 |
Quarterly state team meeting | Meeting | – | 4 | 1 | 4 | 3 | 4 |
Quarterly state team home visit | Home visit | – | 4 | 2 | 4 | 2 | 4 |
VI. Follow-up DR-TB testing | |||||||
Sputum smear | Smear | 8 | 12 | 8 | 12 | 8 | 12 |
Culture - Liquid | Test | 8 | 6 | 8 | 6 | 8 | 6 |
1st and 2nd line DST - Solid culture | Test | 0.2^ | 0 | 0.2^ | 0 | 0.2a | 0 |