Table 1Activity centers of tuberculosis (TB) treatment’s process at the district’s health network
Final activity centers |
Intermediary activity centers |
Supportive activity centers |
Disease unit of rural & urban health centers |
Radiology & TB laboratories |
Administrative & Financial units |
TB office of district’s health network |
Hospital |
Security & Maintenance units |
Table 2Resource and services utilization pattern
Resource & Services |
Total utilization |
Mean utilization (per patient) |
DOTS implementation (day) |
7,090 |
158 |
Sputum smear test (n) |
198 |
4.4 |
Culture (n) |
18 |
0.4 |
Livers’ enzyme test (n) |
59 |
1.3 |
Chest X-ray (n) |
79 |
1.7 |
General physicians consultation (n) |
398 |
8.8 |
Specialist physicians consultation (n) |
49 |
1.1 |
Hospitalization (day) |
82 |
1.8 |
Drug (tablet) |
33,337 |
741 |
Table 3Cost components of tuberculosis treatment
Cost component |
Cost per patient (IRR) |
Cost per patient (USD) |
Percent of total cost |
Direct cost |
Human resource |
22,908,642 |
818 |
58.1 |
Medicines |
1,826,966 |
65 |
5.3 |
Physicians consultation |
784,000 |
28 |
2.0 |
Hospitalization |
4,765,169 |
170 |
12.1 |
Laboratory & radiology |
1,266,264 |
45 |
3.2 |
Consumable materials |
201,134 |
7 |
0.6 |
Transportation |
2,556,500 |
91 |
6.5 |
Total direct costs |
34,308,674 |
1,226 |
87.0 |
Indirect cost |
Depreciation costs |
474,926 |
17 |
1.2 |
Energy |
160,170 |
6 |
0.4 |
Supportive activity centers costs |
4,494,489 |
161 |
11.4 |
Total indirect costs |
5,129,585 |
183 |
13.0 |
Total cost |
39,438,260 |
1,409 |
100 |