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Volume 30, Number 1—January 2024
Research

Costs of Digital Adherence Technologies for Tuberculosis Treatment Support, 2018–2021

Ntwali Placide Nsengiyumva, Amera Khan, Maricelle Ma. Tarcela S. Gler, Mariecef L. Tonquin, Danaida Marcelo, Mark C. Andrews, Karine Duverger, Shahriar Ahmed, Tasmia Ibrahim, Sayera Banu, Sonia Sultana, Mona Lisa Morales, Andre Villanueva, Egwumo Efo, Baraka Onjare, Cristina Celan, and Kevin SchwartzmanComments to Author 
Author affiliations: McGill International Tuberculosis Centre and Research Institute, McGill University Health Centre, Montreal, Quebec, Canada (N.P. Nsengiyumva, K. Schwartzman); Stop TB Partnership, Geneva, Switzerland (A. Khan); De La Salle Medical and Health Sciences Institute, Makati City, Philippines (M.M.T.S. Gler, M.L. Tonquin, D. Marcelo); Health Through Walls, Port au Prince, Haiti (M.C. Andrews, K. Duverger); icddr,b, Dhaka, Bangladesh (S. Ahmed, T. Ibrahim, S. Banu, S. Sultana); KNCV, Manila, Philippines (M.L. Morales, A. Villanueva); KNCV, Dar es Salaam, Tanzania (E. Efo, B. Onjare); Center for Health Policies and Studies, Chisinau, Moldova (C. Celan)

Main Article

Table 2

Costs of digital adherence technologies for tuberculosis treatment support determined in study of costs of digital adherence technologies for tuberculosis treatment support*

Adherence technology Variable costs, US$
 Fixed costs, US$
 Total costs, US$
Variable overall Variable per patient Fixed overall Fixed per patient Total overall Total per patient
Observed project costs
99DOTS†
Bangladesh, n = 71
 55,985
 78
14,772
 21
70,756
 98
The Philippines, n = 396
 33,173
 84
13,901
 35
47,074
 119
Tanzania, n = 976
159,028
 163
10,509
 11
169,536
 174
VOT
Haiti, n = 87
69,287
 796
31,149
 358
100,436
 1,154
Moldova, DS-TB, n = 173
34,248
 198
18,429
 107
52,677
 304
Moldova DR-TB, n = 135
40,088
 293
21,571
 160
61,659
 452
Moldova all TB, n = 308
74,336
 242
40,000
 130
114,336
 372
The Philippines, n = 110
45,330
 412
27,327
 248
72,656
 661
Project costs annuitized over the 5-y life span of servers and phones
99DOTS
Bangladesh, n = 719
60
21
81
The Philippines, n = 396
83
8.84
92
Tanzania, n = 976
160
3.61
163
VOT
Haiti, n = 87
702
358
1,060
Moldova DS-TB, n = 173
151
21
172
Moldova DR-TB, n = 135
222
32
254
Moldova All TB, n = 308
185
26
211
The Philippines, n = 110 247 248 495

*DR-TB, drug-resistant TB; DS-TB, drug-susceptible TB; TB, tuberculosis; VOT, video-observed treatment. †https://www.99dots.org.

Main Article

Page created: October 31, 2023
Page updated: December 20, 2023
Page reviewed: December 20, 2023
The conclusions, findings, and opinions expressed by authors contributing to this journal do not necessarily reflect the official position of the U.S. Department of Health and Human Services, the Public Health Service, the Centers for Disease Control and Prevention, or the authors' affiliated institutions. Use of trade names is for identification only and does not imply endorsement by any of the groups named above.
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