GiveWell SMC cost per treatment estimate [2017]
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Total view of ACCESS-SMC in 2015Total view of ACCESS-SMC in 2016Total view of ACCESS-SMC in 2015-2016Notes-
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Total cost for all of ACCESS-SMC$18,573,989$26,363,762$44,937,751
See "2015 ACCESS-SMC costs" and "2016 ACCESS-SMC costs" sheets
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Total ACCESS-SMC target population3,423,3376,965,40210,388,739See "Coverage" sheet-
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Coverage rate: % of targeted children who received at least 1 cycle of treatment
87%93%90.78%See "Coverage" sheet-
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Coverage rate: % of targeted children who received at least 2 cycles of treatment
76%84%81.18%See "Coverage" sheet-
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Coverage rate: % of targeted children who received at least 3 cycles of treatment
66%70%68.70%See "Coverage" sheet-
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Coverage rate: % of targeted children who received all 4 cycles of treatment
46%53%50.85%See "Coverage" sheet-
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% of kids who got exactly 1 cycle11%9%10%Calculation1
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% of kids who got exactly 2 cycles11%13%12%Calculation2
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% of kids who got exactly 3 cycles20%17%18%Calculation3
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% of kids who got all 4 cycles46%53%51%Calculation4
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Adjustment to get from coverage survey figures to actual coverage (surveys may overestimate coverage due to unreliability of SMC cards and recall; they may underestimate coverage because treatment may have been given to some children who were 5 years old or older (which would have some effect though less than for <5 year olds) and some children who migrated or who were outside of the specified catchment area)
100%100%100%
Arbitrary assumption, based on one's view of how reliable the coverage surveys are and one's prior about whether kids are likely to be reached with treatments. For methodology of coverage surveys, see http://www.givewell.org/node/2770#Coveragesurveys . See sheet "Coverage" for other comparisons.
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Overall adjustment for lack of adherence to treatment regimen88%88%88%
See sheet "Adherence" for more information. The first dose is supposed to be directly observed by a community caregiver, and the second and third treatments are supposed to be given by a child's caretaker. It's possible that the first dose of SMC may not always be directly observed.
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Total person-months of coverage8,254,54218,249,87926,504,420Calculation-
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Equivalent 4-cycles of person-months of coverage2,063,6354,562,4706,626,105Calculation-
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Sanity check: Effective coverage rate for 4-cycles of person-months of coverage
60%66%64%Calculation-
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Cost per equivalent child treated with 4 cycles$9.00$5.78$6.84Calculation-
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Sanity check: Cost per child targeted (i.e., cost for 4 treatments per child if coverage and adherence were 100%)
$5.43$3.78$4.33Calculation-
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Sanity check: overall adjustment on cost per child targeted166%153%158%Calculation-
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