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|Title: ||Costs of cervical cancer screening and treatment using visual inspection with acetic acid (VIA) and cryotherapy in Ghana: the importance of scale|
|Authors: ||Quentin, Wilm|
Opoku, Baafuor K.
costs and cost analysis
uterine cervical neoplasms
early detection of cancer
|Issue Date: ||2011|
|Publisher: ||Tropical Medicine and International Health|
|Citation: ||Tropical Medicine and International Health volume 16 no 3 pp 379–389, 2011|
|Abstract: ||To estimate the incremental costs of visual inspection with acetic acid (VIA) and
cryotherapy at cervical cancer screening facilities in Ghana; to explore determinants of costs through
modelling; and to estimate national scale-up and annual programme costs.
methods Resource-use data were collected at four out of six active VIA screening centres, and unit
costs were ascertained to estimate the costs per woman of VIA and cryotherapy. Modelling and sensitivity
analysis were used to explore the influence of observed differences between screening facilities on
estimated costs and to calculate national costs.
results Incremental economic costs per woman screened with VIA ranged from 4.93 US$ to
14.75 US$, and costs of cryotherapy were between 47.26 US$ and 84.48 US$ at surveyed facilities.
Under base case assumptions, our model estimated the costs of VIA to be 6.12 US$ per woman and those
of cryotherapy to be 27.96 US$. Sensitivity analysis showed that the number of women screened per
provider and treated per facility was the most important determinants of costs. National annual programme
costs were estimated to be between 0.6 and 4.0 million US$ depending on assumed coverage
and adopted screening strategy.
conclusion When choosing between different cervical cancer prevention strategies, the feasibility of
increasing uptake to achieve economies of scale should be a major concern.|
|Description: ||Article published in Tropical Medicine and International Health volume 16 no 3 pp 379–389 March 2011|
|Appears in Collections:||College of Health Sciences|
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