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Table 3 Investments in selected technologies for the detection of SF medicines under three investment scenarios for all public secondary or tertiary hospitals cost at most 1% of the 2019 budget and, at a maximum of 0.3% of estimated economic losses due to SF antimalarials, represent savings for Congo, Nigeria and Uganda

From: Tackling the blind spot of poor-quality medicines in Universal Health Coverage

Country Equipment cost scenarios Health facilities, n Fixed cost [equipment cost for all health facilities], USD million Pharmacist salary,e,f USD million Consumables USD million Repeating Annual cost [salary+ consumables] USD million Total cost (fixed cost + annual cost) USD million Total cost (% of 2019 budget) Total cost (% of estimated economic loss)
  Levela Cost USD         
Congo
  High 90,000 400b 36 3.4 0.1 3.5 39.40 0.67 0.26
  Medium 20,000 400 8 3.4 0.1 3.5 11.40 0.19 0.08
  Low 18,000 400 7.2 3.4 0.1 3.5 10.60 0.18 0.07
Nigeria
  High 90,000 107c 9.6 1.3 0.1 1.4 10.90 0.04g 0.01
  Medium 20,000 107 2.1 1.3 0.1 1.4 3.40 0.01 0
  Low 18,000 107 1.926 1.3 0.1 1.4 3.20 0.01 0
Uganda
  High 90,000 65d 5.85 0.6 0.1 0.7 6.40 1.01 0.21
  Medium 20,000 65 1.3 0.6 0.1 0.7 1.90 0.30 0.06
  Low 18,000 65 1.17 0.6 0.1 0.7 1.80 0.28 0.06
  1. aCosts are derived from Table 2. The levels refer to a ranking from the most expensive to the least among the HPLC (high); UV-Visible spectrophotometer (medium) and low (Mini-Lab). For each of these devices the estimated cost of a dissolution apparatus (USD 10000) was added to give the cost in Table 3
  2. bSecondary health facilities [24]
  3. cTertiary health facilities, national [25]
  4. dAll public facilities – a mix of all 3 levels, primary secondary and tertiary [26]
  5. eStarting salaries for pharmacist, annualized [27,28,29]
  6. fRounded off to the nearest hundred thousand
  7. gNigeria budget for 2019: USD 28.89 billion (Naira 8.83 trillion). Sources: https://www.reuters.com/article/nigeria-budget/update-2-nigerian-president-offers-record-34-billion-budget-for-2020-idUSL5N26T4EA