Description | Calculation |
---|---|
Medical and surgical interventions (I) | Cost of disposable apparel (gowns, gloves, caps etc.) + disposable consumables (needles, gauze, syringes etc.) + instruments (sterilization fee) + cleaning + laboratory tests + fee for use of operating theatre (if applicable) + staff labour cost (L) Each surgical intervention was costed as an independent intervention, although some patients may have received more than one intervention concurrently with some costs shared across interventions |
Staff labour during interventions (L) | Monthly salary/hours worked per month x hours devoted to intervention Calculated for all personnel required for the procedure |
Drug tray (DT) | Total price of the full tray of drugs available for the surgical intervention |
Blood transfusion (B) | First unit of blood: Cost of apparel + consumables + sterilization charge + laboratory tests + blood product price + cost of labour for blood (LB) Each additional unit of blood: Cost of labour for blood (LB) + blood product price |
Hospital stay (HS) | Basic cost of 24 h stay in ward bed x the number of days in hospital from the time of birth to discharge Some patients were discharged within 24 h and with no additional care over basic delivery services. As we did not calculate the cost of delivery specifically (it occurs prior to diagnosis of PPH) these patients’ records would show zero cost. To avoid this, all patients were allocated a minimum of 1 day’s hospital stay as a proxy for the cost of delivery |
Additional uterotonics (AU) | Price of the dose of the uterotonic administered, being either: the price of the individual unit (i.e. tablet, ampoule) multiplied by the units administered or the pack price divided by units in the pack multiplied by the units administered |
Concomitant medicines (CM) | Price of the dose of the medicine administered, being either: the price of the individual unit (i.e. tablet, ampoule) multiplied by the units administered or the pack price divided by units in the pack multiplied by the units administered |
Concomitant formula T2 = HS + ΣI + U + B + CM | T2 = Total cost of care HS = Cost of hospital stay I = Costs of a surgical intervention received for treatment of PPH and ΣI = the sum of costs of all surgical interventions received U = Sum of the cost of all additional uterotonics administered for treatment of PPH B = Cost of blood and blood products administered CM = Sum of cost of all concomitant medicines administered |
Drug tray formula T3 = HS + Σ(I + DT) + U + B | HS = Cost of hospital stay I = Costs of a surgical intervention received for treatment of PPH and DT = Cost of the full tray of drugs available for each surgical intervention for PPH treatment U = Sum of the cost of all additional uterotonics administered for treatment of PPH B = Cost of blood and blood products administered |