Table 5 Affordability: cost required to cover full course standard treatment against the number of daily wages
Condition to be treated | Drug name, strength, dosage form, dose, route of administration, frequency & treatment duration | Treatment schedule24 The total amount of drug required to cover the complete treatment regimen* | Unit | Average drug Price per Unit (USD) | Number of day’s wage to pay for treatment | ||
|---|---|---|---|---|---|---|---|
Public facilities | Private facilities | Public facilities | Private facilities | ||||
Mild pneumonia | Amoxicillin 125 mg/5 ml, OS, 30 mg/kg P.O. TID for 7 days | 30 mg/kg × 14.5 kg × 3 × 7 days = 9135 mg = 365.4 mL | mL | 0.0082 | 0.0104 | 3.0 | 3.8 |
Severe pneumonia 1. if improves, switch to ‘a’ 2. if doesn’t improve within 48 h, switch to ‘b’ | Benzylpenicillin 1.2MIU, Injection, 50,000 units/kg, IM, every 6 h at least for 3 days | 50,000 units/kg × 14.5 kg × 4 × 3 days = 8.7MIU ~ 9MIU = 8vial | Vial | 0.2620 | 0.4984 | 2.1 | 4.0 |
a. Amoxicillin125 mg/5 ml, OS, 30 mg/kg P.O. TID for 7 days | 30 mg/kg × 14.5 kg × 3 × 7 days = 9135 mg = 365.4 mL | mL | 0.0082 | 0.0104 | 3.0 | 3.8 | |
b. Ceftriaxone 1 g, Injection, 50 mg/kg/day, IV, for 5 days | 50 mg/kg × 14.5 kg × 5 days = 3625 mg ~ 4 g = 4 vial | Vial | 0.6726 | 0.9114 | 2.7 | 3.7 | |
Impetigo | Cloxacillin 125 mg/5 ml, Syrup, 100 mg /kg/day P.O. for 7 days | 100 mg/kg × 14.5 kg × 7 days = 10,105 mg = 101.5 mL | mL | 0.0101 | 0.0113 | 1.0 | 1.2 |
Diarrhea with some dehydration | ORS to make 1 litter, 1sachet P.O. | some dehydration 75 ml/kg × 14.5 = 1087.5 ml ~ 2sachet | Sachet | 0.0808 | 0.3137 | 0.2 | 0.6 |
Acute otitis media | Amoxicillin 250 mg/ 5 ml, OS, 5 ml, P.O. TID for 10 days | 3 × 5 ml × 10 days = 150 ml | mL | 0.0080 | 0.0107 | 1.2 | 1.6 |
Augmentin 156.25 mg/5 ml, OS, 5 ml, P.O. TID for 10 days | 3 × 5 ml × 10 days = 150 ml | mL | 0.0223 | 0.0512 | 3.4 | 7.8 | |
Asthma | Salbutamol puff, 1-2puffs, 3–4 times a day | 200doses of 1 inhaler | Dose | 0.0155 | 0.0177 | 3.1 | 3.6 |
Pain management | Paracetamol suppository 125 mg, 15 mg/kg, QID for 1 day | 15 mg/kg × 14.5 × 4 = 870 mg = 7supp ~ 10supp | Supp | 0.0521 | 0.4173 | 0.5 | 4.2 |
Pain management | Ibuprofen 100 mg/5 ml, Syrup, 10 mg/kg, P.O. PRN | 100 mg/5 ml of 100 mL | mL | 0.0120 | 0.0161 | 1.2 | 1.6 |