Skip to main content

Table 5 Sensitivity analysis for projected savings over 20 years with DOTS expansion in Haiti

From: Impact of DOTS expansion on tuberculosis related outcomes and costs in Haiti

   

SAVINGS in $US MILLIONS WITH DOTS EXPANSION *

   

PERSPECTIVE

 

PARAMETER VARIED

CHANGE

NEW VALUE

SOCIETAL

GOVERNMENT

Base Case (from Table 4)

Base

Base

($131)

($4)

Initial DOTS investment

Double

$8.4 million total

($126)

($0)

Annual DOTS maintenance

Double

$722,000 per year

($128)

($1)

Annual DOTS maintenance + cost of TB drugs

Double both

$847,900 per year

($128)

($1)

Foreign Donor Pays: Initial + annual + TB drugs

Eliminate all three

$8.44 million + $847,000 per year

($138)

($11)

Change average duration of hospitalization

Decrease with DOTS, increase with Non-DOTS

3 days – DOTS 60 days non-DOTS

($165)

($29)

Single (SDR) and Multi (MDR) Drug resistance

Double prevalence of drug resistance

SDR : 40% MDR : 0.6%

($131)

($4)

Impact of DOTS expansion on TB incidence in subsequent years

None

1/3 of base

2/3 of base

0% annual decline

2% annual decline

4% annual decline

($61)

($88)

($111)

$ 14 *

$ 7*

$ 1*

  1. Notes:
  2. * A number in parentheses indicates net societal or government savings, while a number not in parentheses indicates a net increased cost with DOTS expansion,.