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Please use this identifier to cite or link to this item: http://hdl.handle.net/123456789/5000

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
Adu-Sarkodie, Yaw
Terris-Prestholt, Fern
Legood, Rosa
Opoku, Baafuor K.
Mayaud, Philippe
Keywords: economics
costs and cost analysis
uterine cervical neoplasms
Africa
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
URI: http://hdl.handle.net/123456789/5000
Appears in Collections:College of Health Sciences

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