Costing Provision of Tuberculosis Care in Nigeria
Health Systems 20/20 has developed a customizable costing model in MS-Excel to look at the direct cost implications of the Nigerian tuberculosis (TB) control program over 2008-12. Full-time equivalent health workers required for clinical TB care are also estimated.
With a baseline scenario for an increase in the TB-DOTS caseload, this model projected Nigeria’s total direct costs of the directly observed treatment, short-course (DOTS), multi-drug resistant tuberculosis (MDR-TB), and TB-HIV program to be US$17 million in 2012. Additional scenarios were costed, which varied the rate of DOTS case registrations and treatment outcomes, etc.
The Nigerian TB treatment program looks sustainable if current TB case complication and drug resistance rates remain stable. Additional costs of MDR-TB treatment could become significant. Hence attention should be paid to MDR-TB prevention. Nigeria needs to further improve DOTS treatment outcomes. Strengthening DOTS by an increase in labor input per active TB case by clinical workers is one option for deepening treatment quality, which was costed with the tool. The option was found to be affordable and would also save additional lives.
Basic Health for Gender Resource Centers
Type: Report
Country: India
Online Costing Tool Guide: Achieving Health Targets
Type: Presentation
Liberia National Health Accounts 2007/2008
Type: Report
Country: Liberia
Sustaining HIV Services: HAPSAT estimates of resource needs under alternative policy scenarios
Type: Presentation
Country: Cote d'Ivoire, Ethiopia, Nigeria, Zambia
Health Systems 20/20 Work in Haiti
Feb 1 2010From Health Labor Market Analysis to Result-Based Financing: Insights from a Post-Conflict Country, Cote d'Ivoire
Jan 28 2009As in most African countries, Cote d’Ivoire is facing a crisis in human resources for health (HRH) worsened by a high HIV-AIDS prevalence (4.7%) and a civil war from 2002 to 2007. Many health workers have fled from the northern regions to seek refuge in the capital city, Abidjan. At a World Bank event on January 14, 2009, Gilbert Kombe shared insights from Health Systems 20/20 work to develop innovative and sustainable interventions to address the health labor crisis.
More...Health Systems 20/20 at 136th Annual APHA Meeting
Nov 7 2008Thousands of leading experts, researchers, and practitioners came together at the American Public Health Association's 136th Annual Meeting and Exposition, October 26-29, 2008, in San Diego, California, to share their research, learn from each other, and explore new strategies for addressing a wide range of critical public health issues.
More...New Toolkit!
Using Round 9 of the Global Fund for Health Systems Strengthening
Oct 27 2008Health Systems 20/20 and the Health Workforce Advocacy Initiative have teamed up to develop a toolkit of materials to help Global Fund applicants better understand how they can use Round 9 of the Global Fund to strengthen their countries’ health systems as well as what resources are available to support them in doing so.
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