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Cost to perform door-to-door universal sputum screening for TB in a high-burden community
DC Field | Value | Language |
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dc.contributor.author | Baik, Y. | - |
dc.contributor.author | Nakasolya, O. | - |
dc.contributor.author | Isooba, D. | - |
dc.contributor.author | Mukiibi, J. | - |
dc.contributor.author | Kitonsa, P.J. | - |
dc.contributor.author | Erisa, K.C. | - |
dc.contributor.author | Nalutaaya, A. | - |
dc.contributor.author | Robsky, K.O. | - |
dc.contributor.author | Ferguson, O. | - |
dc.contributor.author | Kendall, E.A. | - |
dc.contributor.author | Sohn, H. | - |
dc.contributor.author | Katamba, A. | - |
dc.contributor.author | Dowdy, D.W. | - |
dc.date.accessioned | 2024-05-14T04:33:38Z | - |
dc.date.available | 2024-05-14T04:33:38Z | - |
dc.date.created | 2023-04-14 | - |
dc.date.issued | 2023-03 | - |
dc.identifier.citation | International Journal of Tuberculosis and Lung Disease, Vol.27 No.3, pp.195-201 | - |
dc.identifier.issn | 1027-3719 | - |
dc.identifier.uri | https://hdl.handle.net/10371/201736 | - |
dc.description.abstract | BACKGROUND: Population-based active case-finding (ACF) identifies people with TB in communities but can be costly.METHODS: We conducted an empiric costing study within a door-to-door household ACF campaign in an urban community in Uganda, where all adults, regardless of symptoms, were screened by sputum Xpert Ultra testing. We used a combination of direct observation and self-reported logs to estimate staffing requirements. Study budgets were reviewed to collect costs of overheads, equipment, and consumables. Our primary outcome was the cost per person diagnosed with TB.RESULTS: Over a 28-week period, three teams of two people collected sputum from 11,341 adults, of whom 48 (0.4%) tested positive for TB. Screening 1,000 adults required 258 person-hours of effort at a cost of US$402,000, 70% of which was for GeneXpert cartridges. The estimated cost per person screened was $36 (95% uncertainty range [95% UR] 34-38), and the cost per person diagnosed with Xpert-positive TB was $8,400 (95% UR 8,000-8,900). The prevalence of TB in the underlying community was the primary modifiable determinant of the cost per person diagnosed.CONCLUSION: Door-to-door screening can be feasibly performed at scale, but will require effective triage and identification of high-prevalence populations to be affordable and cost-effective. | - |
dc.language | 영어 | - |
dc.publisher | International Union Against Tuberculosis And Lung Disease/Union Internationale Contre la Tuberculose et les Maladies Respiratories | - |
dc.title | Cost to perform door-to-door universal sputum screening for TB in a high-burden community | - |
dc.type | Article | - |
dc.identifier.doi | 10.5588/ijtld.22.0567 | - |
dc.citation.journaltitle | International Journal of Tuberculosis and Lung Disease | - |
dc.identifier.wosid | 000976544200006 | - |
dc.identifier.scopusid | 2-s2.0-85149153070 | - |
dc.citation.endpage | 201 | - |
dc.citation.number | 3 | - |
dc.citation.startpage | 195 | - |
dc.citation.volume | 27 | - |
dc.description.isOpenAccess | N | - |
dc.contributor.affiliatedAuthor | Sohn, H. | - |
dc.type.docType | Article | - |
dc.description.journalClass | 1 | - |
dc.subject.keywordAuthor | KEY WORDS | - |
dc.subject.keywordAuthor | tuberculosis | - |
dc.subject.keywordAuthor | cost analysis | - |
dc.subject.keywordAuthor | door-to-door | - |
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