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Revista Cubana de Medicina Tropical

Print version ISSN 0375-0760On-line version ISSN 1561-3054

Abstract

PERALTA PEREZ, Mariana; PADILLA GONZALEZ, Carmen M.; FUENTES DIAZ, Margarita  and  LAZO ALVAREZ, Miguel Ángel. Cost of the National Tuberculosis Control Program. Provincial Hygiene and Epidemiology Center of Havana City, 2002. Rev Cubana Med Trop [online]. 2006, vol.58, n.1. ISSN 0375-0760.

A retrospective descriptive study of cost estimation of the National Tuberculosis Control Program (NTCP) in the City of Havana was carried out from an institutional point of view. Salary, reagents, buildings and equipment were the studied variables. Direct and indirect costs were estimated and expressed in equivalent Cuban pesos to American dollars (1 Peso = 1 USD). The implementation of the NTCP in the Provincial Hygiene and Epidemiology Center generated costs for more than 80 000 pesos, from which 52.2% was in human resources. The average cost for every TB case in Cuban pesos was 378.08; the treatment cost was 175.88 per TB case; tuberculin skin performance reached 6.65 per contact; 2.59 for one culture; chemoprophylaxis treatment was 2.12 per contact; the quality control of sputum smear microscopies was 1.64 and 1.02 for a sputum smear microscopy. The costs of a case detection, a complete investigation and the chemoprophylaxis of its contacts were 38, 26 and 82 times lower than that of a case treatment. The salaries represented more than half of the program costs at this level, although this institution guaranteed an important volume of resources for the program implementation in the province. Tuberculosis epidemiological surveillance and chemoprophylaxis prevention were less costly than a case treatment.

Keywords : Tuberculosis; cost; program.

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