Study of implementation and direct cost estimates for diagnostic tests for human visceral leishmaniasis in an urban area in Brazil

Abstract This work reports the process and costs of comprehensively implementing two tests to decentralize the diagnosis of visceral leishmaniasis (VL) in an endemic city in Brazil: a rapid test (IT LEISH) and a direct agglutination test (DAT-LPC). The implementation began by training health profess...

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Main Authors: Tália Santana Machado de Assis, Paloma Nogueira Guimarães, Edward Oliveira, Vanessa Peruhype-Magalhães, Luciana Inácia Gomes, Ana Rabello
Format: Article
Language:English
Published: Escola Nacional de Saúde Pública, Fundação Oswaldo Cruz 2015-10-01
Series:Cadernos de Saúde Pública
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-311X2015001002127&lng=en&tlng=en
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author Tália Santana Machado de Assis
Paloma Nogueira Guimarães
Edward Oliveira
Vanessa Peruhype-Magalhães
Luciana Inácia Gomes
Ana Rabello
author_facet Tália Santana Machado de Assis
Paloma Nogueira Guimarães
Edward Oliveira
Vanessa Peruhype-Magalhães
Luciana Inácia Gomes
Ana Rabello
author_sort Tália Santana Machado de Assis
collection DOAJ
description Abstract This work reports the process and costs of comprehensively implementing two tests to decentralize the diagnosis of visceral leishmaniasis (VL) in an endemic city in Brazil: a rapid test (IT LEISH) and a direct agglutination test (DAT-LPC). The implementation began by training health professionals to perform the tests. Estimation of the training costs considered the proportional remuneration of all professionals involved and the direct costs of the tests used for training. The study was conducted between November 2011 and November 2013. During that time, 17 training sessions were held, and 175 professionals were trained. The training cost for each professional was US$ 7.13 for the IT LEISH and US$ 9.93 for the DAT-LPC. The direct costs of the IT LEISH and DAT-LPC were estimated to be US$ 6.62 and US$ 5.44, respectively. This first evaluation of the implementation of these diagnostic tests indicates the feasibility of decentralizing both methods to extend access to VL diagnosis in Brazil.
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spelling doaj.art-2a7373d13f7c488ea6001173c65da7612022-12-22T03:58:10ZengEscola Nacional de Saúde Pública, Fundação Oswaldo CruzCadernos de Saúde Pública1678-44642015-10-0131102127213610.1590/0102-311X00158614S0102-311X2015001002127Study of implementation and direct cost estimates for diagnostic tests for human visceral leishmaniasis in an urban area in BrazilTália Santana Machado de AssisPaloma Nogueira GuimarãesEdward OliveiraVanessa Peruhype-MagalhãesLuciana Inácia GomesAna RabelloAbstract This work reports the process and costs of comprehensively implementing two tests to decentralize the diagnosis of visceral leishmaniasis (VL) in an endemic city in Brazil: a rapid test (IT LEISH) and a direct agglutination test (DAT-LPC). The implementation began by training health professionals to perform the tests. Estimation of the training costs considered the proportional remuneration of all professionals involved and the direct costs of the tests used for training. The study was conducted between November 2011 and November 2013. During that time, 17 training sessions were held, and 175 professionals were trained. The training cost for each professional was US$ 7.13 for the IT LEISH and US$ 9.93 for the DAT-LPC. The direct costs of the IT LEISH and DAT-LPC were estimated to be US$ 6.62 and US$ 5.44, respectively. This first evaluation of the implementation of these diagnostic tests indicates the feasibility of decentralizing both methods to extend access to VL diagnosis in Brazil.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-311X2015001002127&lng=en&tlng=enLeishmaniasisDiagnósticoCostos y Análisis de Costo
spellingShingle Tália Santana Machado de Assis
Paloma Nogueira Guimarães
Edward Oliveira
Vanessa Peruhype-Magalhães
Luciana Inácia Gomes
Ana Rabello
Study of implementation and direct cost estimates for diagnostic tests for human visceral leishmaniasis in an urban area in Brazil
Cadernos de Saúde Pública
Leishmaniasis
Diagnóstico
Costos y Análisis de Costo
title Study of implementation and direct cost estimates for diagnostic tests for human visceral leishmaniasis in an urban area in Brazil
title_full Study of implementation and direct cost estimates for diagnostic tests for human visceral leishmaniasis in an urban area in Brazil
title_fullStr Study of implementation and direct cost estimates for diagnostic tests for human visceral leishmaniasis in an urban area in Brazil
title_full_unstemmed Study of implementation and direct cost estimates for diagnostic tests for human visceral leishmaniasis in an urban area in Brazil
title_short Study of implementation and direct cost estimates for diagnostic tests for human visceral leishmaniasis in an urban area in Brazil
title_sort study of implementation and direct cost estimates for diagnostic tests for human visceral leishmaniasis in an urban area in brazil
topic Leishmaniasis
Diagnóstico
Costos y Análisis de Costo
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-311X2015001002127&lng=en&tlng=en
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