The hidden costs of installing xpert machines in a tuberculosis high-burden country: experiences from Nigeria

Abdurrahman, Saddiq Tsimiri, Emenyonu, Nnamdi, Obasanya, Olusegun Joshua, Lawson, Lovett, Dacombe, Russell ORCID: https://orcid.org/0000-0002-6705-1537, Muhammad, Muhammad, Oladimeji, Olanrewaju and Cuevas, Luis ORCID: https://orcid.org/0000-0002-6581-0587 (2014) 'The hidden costs of installing xpert machines in a tuberculosis high-burden country: experiences from Nigeria'. Pan African Medical Journal, Vol 18, Issue 277.

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Abstract

Introduction

Since the endorsement of GeneXpert MTB/RIF by the WHO, many countries have embarked on implementing this technology. Objective: We outline the cost of installing GeneXpert in district hospitals in Abuja, Nigeria.

Methods

We prospectively documented costs related to the installation of GeneXpert at five sites. Costs were collected from receipts received from suppliers and normalized to USD 2012 values.

Results

Costs were often identified after initiating installation for many reasons. Installation varied widely between sites with sufficient space and power supply; sites with insufficient space or power supply and costs not directly associated with site installation. The basic cost for installation was USD 2,621.98 per machine. Sites that required additional space cost close to USD 7,000.00.

Conclusion

Space and power requirements have a significant effect on installation costs. Countries need to carefully consider the placement of Xpert machines based on the quality and size of the available infrastructure.

Item Type:	Article
Subjects:	WA Public Health > WA 30 Socioeconomic factors in public health (General) WA Public Health > Health Problems of Special Population Groups > WA 395 Health in developing countries WF Respiratory System > Tuberculosis > WF 200 Tuberculosis (General) WF Respiratory System > Tuberculosis > WF 205 Epidemiology WF Respiratory System > Tuberculosis > WF 220 Diagnosis. Prognosis
Faculty: Department:	Clinical Sciences & International Health > Clinical Sciences Department
Digital Object Identifer (DOI):	https://doi.org/10.11604/pamj.2014.18.277.3906
Depositing User:	Lynn Roberts-Maloney
Date Deposited:	09 Jun 2015 09:01
Last Modified:	06 Feb 2018 13:10
URI:	https://archive.lstmed.ac.uk/id/eprint/5199

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