Document Detail


Analysis of the operational costs of using rapid syphilis tests for the detection of maternal syphilis in Bolivia and Mozambique.
MedLine Citation:
PMID:  17220812     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: The objective of this study was to compare the costs of antenatal syphilis screening with the rapid plasma reagin (RPR) test and the immunochromatographic strip (ICS) test in low-resource settings.
GOAL: The goal of this study was to assess the costs of introducing rapid syphilis tests to reduce maternal and congenital syphilis.
STUDY DESIGN: Cost data were collected from participating study hospitals and antenatal clinics during 4 field visits to the 2 countries in 2003 and 2004. Health utilization outcome data on the number of women screened and treated routinely during the demonstration projects were used with unit cost data to estimate the incremental costs and average cost per woman screened and treated for maternal syphilis.
RESULTS: In Mozambique, the average cost per woman screened was U.S. $0.91 and U.S. $1.05 for the RPR and ICS tests, respectively. In Bolivia, the average cost of screening was U.S. $1.48 and U.S. $1.91 using the RPR and ICS test, respectively. In health centers without laboratories, the cost per woman screened using the ICS test ranged from U.S. $1.02 in Mozambique to U.S. $2.84 in Bolivia.
CONCLUSIONS: It is feasible to introduce rapid syphilis testing in settings without laboratory services at a small incremental cost per woman screened. In settings with laboratories, the cost of ICS is similar to that of RPR.
Authors:
Carol E Levin; Matthew Steele; Deborah Atherly; Sandra G García; Freddy Tinajeros; Rita Revollo; Kara Richmond; Claudia Díaz-Olavarrieta; Tom Martin; Florencia Floriano; Isabel Massango; Stephen Gloyd
Publication Detail:
Type:  Comparative Study; Journal Article; Multicenter Study; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Sexually transmitted diseases     Volume:  34     ISSN:  0148-5717     ISO Abbreviation:  Sex Transm Dis     Publication Date:  2007 Jul 
Date Detail:
Created Date:  2007-06-26     Completed Date:  2007-07-26     Revised Date:  2012-05-25    
Medline Journal Info:
Nlm Unique ID:  7705941     Medline TA:  Sex Transm Dis     Country:  United States    
Other Details:
Languages:  eng     Pagination:  S47-54     Citation Subset:  IM    
Affiliation:
PATH, 1455 NW Leary Way, Seattle, WA 98107, USA. clevin@path.org
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MeSH Terms
Descriptor/Qualifier:
Ambulatory Care Facilities
Bolivia / epidemiology
Chromatography / economics,  methods
Costs and Cost Analysis
Female
Health Care Costs / statistics & numerical data
Hospitals
Humans
Immunoassay / economics,  methods
Infant, Newborn
Infectious Disease Transmission, Vertical / prevention & control
Mass Screening / economics,  methods
Mozambique / epidemiology
Pregnancy
Pregnancy Complications, Infectious / diagnosis*,  epidemiology,  prevention & control
Prenatal Diagnosis / economics*,  utilization*
Reagent Kits, Diagnostic / economics,  utilization
Reagins / blood
Syphilis / diagnosis*,  epidemiology,  prevention & control,  transmission
Syphilis, Congenital / prevention & control
Grant Support
ID/Acronym/Agency:
P30 AI027757/AI/NIAID NIH HHS
Chemical
Reg. No./Substance:
0/Reagent Kits, Diagnostic; 0/Reagins

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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