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Table 5 Affordability: cost required to cover full course standard treatment against the number of daily wages

From: Availability and affordability of children essential medicines in health facilities of southern nations, nationalities, and people region, Ethiopia: key determinants for access

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
  1. OS Oral Suspension, P.O Per oral, TID Three times a day, QID Four times a day, PRN When necessary, IM Intramuscular, IV Intravenous, Supp Suppository, USD United States of American Dollar
  2. *Average weight of 5 year age children in Ethiopia =14.5 kg