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

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...

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Autores principales: Abdurrahman, Saddiq Tsimiri, Emenyonu, Nnamdi, Obasanya, Olusegun Joshua, Lawson, Lovett, Dacombe, Russell, Muhammad, Muhammad, Oladimeji, Olanrewaju, Cuevas, Luis Eduardo
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The African Field Epidemiology Network 2014
Materias:
Research
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4258200/
https://www.ncbi.nlm.nih.gov/pubmed/25489371
http://dx.doi.org/10.11604/pamj.2014.18.277.3906
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author Abdurrahman, Saddiq Tsimiri
Emenyonu, Nnamdi
Obasanya, Olusegun Joshua
Lawson, Lovett
Dacombe, Russell
Muhammad, Muhammad
Oladimeji, Olanrewaju
Cuevas, Luis Eduardo
author_facet Abdurrahman, Saddiq Tsimiri
Emenyonu, Nnamdi
Obasanya, Olusegun Joshua
Lawson, Lovett
Dacombe, Russell
Muhammad, Muhammad
Oladimeji, Olanrewaju
Cuevas, Luis Eduardo
author_sort Abdurrahman, Saddiq Tsimiri
collection PubMed
description 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.
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spelling pubmed-42582002014-12-08 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 Muhammad, Muhammad Oladimeji, Olanrewaju Cuevas, Luis Eduardo Pan Afr Med J Research 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. The African Field Epidemiology Network 2014-08-05 /pmc/articles/PMC4258200/ /pubmed/25489371 http://dx.doi.org/10.11604/pamj.2014.18.277.3906 Text en © Saddiq Tsimiri Abdurrahman et al. http://creativecommons.org/licenses/by/2.0/ The Pan African Medical Journal - ISSN 1937-8688. This is an Open Access article distributed under the terms of the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research
Abdurrahman, Saddiq Tsimiri
Emenyonu, Nnamdi
Obasanya, Olusegun Joshua
Lawson, Lovett
Dacombe, Russell
Muhammad, Muhammad
Oladimeji, Olanrewaju
Cuevas, Luis Eduardo
The hidden costs of installing xpert machines in a tuberculosis high-burden country: experiences from Nigeria
title The hidden costs of installing xpert machines in a tuberculosis high-burden country: experiences from Nigeria
title_full The hidden costs of installing xpert machines in a tuberculosis high-burden country: experiences from Nigeria
title_fullStr The hidden costs of installing xpert machines in a tuberculosis high-burden country: experiences from Nigeria
title_full_unstemmed The hidden costs of installing xpert machines in a tuberculosis high-burden country: experiences from Nigeria
title_short The hidden costs of installing xpert machines in a tuberculosis high-burden country: experiences from Nigeria
title_sort hidden costs of installing xpert machines in a tuberculosis high-burden country: experiences from nigeria
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4258200/
https://www.ncbi.nlm.nih.gov/pubmed/25489371
http://dx.doi.org/10.11604/pamj.2014.18.277.3906
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