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Table 2  Facility-related unit cost estimates for antenatal care services in countries (2015 USD)

From: Cost estimation alongside a multi-regional, multi-country randomized trial of antenatal ultrasound in five low-and-middle-income countries

 

Dem. Rep. of Congo

Kenya

Zambia

Guatemala

Pakistan

 

Average

Low

High

Average

Low

High

Average

Low

High

Average

Low

High

Average

Low

High

Facility Costs

 Outpatient ANC Visit

4.70

0.54

16.28

4.41

1.01

10.08

5.74

3.97

9.27

3.28

2.88

3.67

3.72

1.47

6.87

 Inpatient ANC Visit

3.80

3.80

3.80

12.78

5.04

40.33

7.87

6.62

9.27

3.15

2.62

3.54

3.72

1.47

6.87

 Outpatient Ultrasound Visit

12.83

2.00

30.00

10.33

8.07

15.12

13.25

6.62

19.87

4.19

3.41

4.98

4.30

2.46

5.89

 Inpatient Ultrasound Visit

16.28

16.28

16.28

10.64

8.07

15.12

13.25

6.62

19.87

5.50

4.46

6.55

4.30

2.46

5.89

 Consultation with a Specialist, separate from ultrasound

9.77

9.77

9.77

4.44

0.20

10.08

16.56

13.25

19.87

4.33

3.54

4.98

19.08

1.37

52.91

 Hospital Overnight Stay

2.97

1.58

5.43

4.11

1.01

9.07

23.18

19.87

26.49

17.04

15.07

19.13

14.35

4.91

23.41

 ICU Overnight Stay

12.10

1.58

30.39

0.00

0.00

0.00

46.36

39.74

52.98

69.72

46.13

93.32

141.27

98.21

176.78

 Delivery in hospital with cesarean section

108.50

10.85

287.64

156.27

50.41

272.20

99.34

79.47

119.21

44.46

39.15

49.80

202.85

116.87

294.64

 Delivery in hospital without cesarean section

41.68

5.43

75.98

55.20

19.16

100.82

90.32

56.29

105.96

26.02

24.71

27.33

75.88

53.21

127.68

 Neonatal Resuscitation with Bag and Mask

N/A

0.00

0.00

N/A

0.00

0.00

3.31

1.59

6.62

1.57

1.31

1.83

4.66

4.39

4.92

 Neonatal Bath

N/A

0.00

0.00

N/A

0.00

0.00

1.32

0.66

1.99

1.31

1.18

1.31

N/A

0.00

0.00

 Neonatal Provision of Antibiotics

7.00

5.00

30.00

7.06

5.04

9.07

1.32

0.66

1.99

8.26

8.13

8.26

6.53

3.38

14.73

 Neonatal Oxygen

29.31

29.31

29.31

1.01

1.01

1.01

1.32

0.66

1.99

6.16

5.11

7.21

4.66

4.39

4.92

 Neonatal Mechanical Ventilation

N/A

0.00

0.00

N/A

0.00

0.00

1.32

0.66

1.99

39.58

32.77

46.40

4.66

4.39

4.92

 Neonatal Medicinal Eye Care

0.71

0.54

0.87

0.20

0.20

0.20

1.32

0.66

1.99

4.72

4.33

5.11

N/A

0.00

0.00

 Neonatal Medicinal Cord Care

N/A

0.00

0.00

N/A

0.00

0.00

1.21

0.13

1.99

0.66

0.52

0.79

N/A

0.00

0.00

 Neonatal Provision of Vitamin K

1.90

0.54

3.26

2.02

2.02

2.02

0.74

0.13

1.99

1.31

1.31

1.44

0.58

0.58

0.58

 Neonatal Chest X-Ray for Pneumonia

13.76

12.00

16.28

8.07

8.07

8.07

5.30

2.65

7.95

9.70

9.04

10.22

2.50

2.50

2.50

 Neonatal hospitalization

5.43

5.43

5.43

2.52

2.02

3.02

33.11

26.49

39.74

79.95

77.98

81.91

73.57

73.57

73.57

 Hospital Stay for C-Section

27.14

10.85

54.27

38.81

5.04

90.73

33.11

26.49

39.74

155.96

77.98

233.94

207.23

116.87

294.64

 Treatment with Antibiotics

7.00

5.00

30.00

36.97

10.08

70.57

3.31

1.99

4.64

12.00

8.00

16.00

9.58

5.89

14.73

 Hospital Stay for Hysterectomy

27.14

10.85

54.27

214.24

50.41

302.45

26.49

19.87

33.11

155.96

77.98

233.94

171.87

108.03

294.64

 Hospital Stay for Other Surgery

32.56

10.85

54.27

214.24

50.41

302.45

90.88

19.87

132.45

155.96

77.98

233.94

82.50

82.50

82.50

 Use of Anesthesia

143.82

143.82

143.82

10.08

10.08

10.08

N/A

0.00

0.00

20.58

17.96

23.20

N/A

0.00

0.00

 Blood transfusion (cost per pint)

9.95

12.48

12.48

11.76

0.50

20.16

N/A

0.00

0.00

47.84

30.14

65.53

19.48

11.79

29.46

  1. Note: N/A indicates service or resource not available or item is bundled with reimbursement for delivery-based care
  2. Note: Antibiotic prices for Guatemala estimated from external source, other surgery has same cost as hysterectomy
  3. For Kenya, other surgery costs assumed same as for hysterectomy
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