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

Saddiq Tsimiri Abdurrahman; Nnamdi Emenyonu; Olusegun Joshua Obasanya; Lovett Lawson; Russell Dacombe; Muhammad Muhammad; Olanrewaju Oladimeji; Luis Cuevas

doi:10.11604/pamj.2014.18.277.3906

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

Saddiq Tsimiri Abdurrahman
, Nnamdi Emenyonu
, Olusegun Joshua Obasanya
, Lovett Lawson
, Russell Dacombe
, Muhammad Muhammad
, Olanrewaju Oladimeji
, Luis Cuevas

Research output: Contribution to journal › Article › peer-review

23 Citations (Scopus)

Abstract

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.

Original language	English
Article number	277
Pages (from-to)	277
Number of pages	1
Journal	Pan African Medical Journal
Volume	18
DOIs	https://doi.org/10.11604/pamj.2014.18.277.3906
Publication status	Published - 5 Aug 2014

Keywords

Hidden cost
Low resource -settings
Operational research
Tuberculosis
Xpert-installation

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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10.11604/pamj.2014.18.277.3906Licence: CC BY

Pan Afr Med J 18 277Final published version, 329 KBLicence: CC BY

Cite this

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

abstract = "IntroductionSince 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.MethodsWe 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.ResultsCosts 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.ConclusionSpace 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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AU - Abdurrahman, Saddiq Tsimiri

AU - Emenyonu, Nnamdi

AU - Obasanya, Olusegun Joshua

AU - Lawson, Lovett

AU - Dacombe, Russell

AU - Muhammad, Muhammad

AU - Oladimeji, Olanrewaju

AU - Cuevas, Luis

PY - 2014/8/5

Y1 - 2014/8/5

N2 - IntroductionSince 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.MethodsWe 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.ResultsCosts 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.ConclusionSpace 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.

AB - IntroductionSince 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.MethodsWe 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.ResultsCosts 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.ConclusionSpace 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.

KW - Hidden cost

KW - Low resource -settings

KW - Operational research

KW - Tuberculosis

KW - Xpert-installation

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JO - Pan African Medical Journal

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ER -

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

Abstract

Keywords

UN SDGs

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