Unit cost analysis of malaria case detection and treatment at the Thai-Cambodian border
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Abstract
The retrospective study was conducted to analyze the unit cost of malaria case detection and treatment practiced by health sectors under the Ministry of Public Health of Thailand. Data of fiscal year 2009 from purposively selected health sectors along the Thai-Cambodian border were collected.
The results showed that the total direct cost for Active Case Detection (ACD) was 886,096.46 baht. The labor cost, material cost and capital cost were 71.4%, 16.3% and 12.3 respectively. The unit costs for case detection and treatment during ACD were 59.81 and 169.50 baht. For Passive Case Detection (PCD) the total direct cost was 435,274.44 baht. The labor cost, material cost and capital cost were 96.4%, 2.8% and 0.8 respectively. The unit cost for case detection activity was 262.21 baht while the unit cost for treatment was 391.78 baht.
Although the total direct cost of ACD was higher than PCD, however ACD’s unit costs were lower both in case detection and treatment. ACD should be used as extended service to outreach population where transportation and communication are limited. PCD in other hand should be considered as a point of service for anyone who can reach the facility.
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