The cost of antibiotic mass drug administration for trachoma control in a remote area of South Sudan

To inform budgeting to scale up control of trachoma and other NTDs relying on large-scale mass drug administration, this study set out to determine the cost per person treated when antibiotics were delivered via a campaign in South Sudan.

Trachoma is one of a group of so-called 'neglected tropical diseases' (NTDs) for which safe and effective treatments are available. The International Trachoma Initiative oversees donation of the antibiotic azithromycin to endemic countries. Delivery of this drug to communities affected by trachoma is the responsibility of national programmes and their implementing partners, and should be conducted as part of a comprehensive control strategy termed 'SAFE', which includes trichiasis surgery, health education and water/sanitation interventions. There is little data on how much the different components of a trachoma control programme cost and none from South Sudan. To inform budgeting to scale up control of trachoma, and of other NTDs whose control relies on large-scale mass drug administration (MDA), the present study set out to determine the cost per person treated when antibiotics were delivered through a vertical campaign that covered 94 percent of the target population in a remote trachoma endemic area of South Sudan. The average economic cost per person treated was USD 1.53, which included all inputs not paid for in cash except for the cost of the donated azithromycin and the opportunity cost of community members attending treatment.

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Citation: Kolaczinski JH, Robinson E, Finn TP (2011) The Cost of Antibiotic Mass Drug Administration for Trachoma Control in a Remote Area of South Sudan. PLoS Negl Trop Dis 5(10): e1362. doi:10.1371/journal.pntd.0001362

Country: South Sudan

Keywords: Community delivery | Costing and economic impact evaluation | NTDs | Case management | SDGs

Diseases: NTDs