LAB

VIRAL LOAD INSTRUMENT AND REAGENTS

RELAYING TEST RESULTSINSTRUMENT AND REAGENTS

DELIVEREDINSTRUMENT INSTALLATION

TEST RUNNINGDATA COMPILATION

%

SAMPLE COLLECTION

INSTRUMENT AND REAGENTSTRANSPORTED

BIO

SAMPLE TRANSPORT

RESULTS TRANSPORT

PROCESS

COSTS

Costs to Point of Use Includes: •Cost of instrumentation•Costs of delivery (carriage and insurance, including delivery at terminal, place, duty, storage) •Customs charges, taxes or duties•Instrument support, including installation, training, instrument and reagent rental, equipment service, warranty

Running the test includes:

•Throughput •Reagents and consumables needed for sample preparation, and amplification and detection steps•Personnel running the test•Materials required, such as centrifuge, biosafety cabinet, pipettes; laboratory equipment costs such as gloves, lab jackets, etc.•Laboratory maintenance such as renovation costs, waste disposal, electricity and water•Quality assurance certification costs and administration costs; as many laboratory costs are shared across procedures, the full cost of infrastructure investment was split as deemed reasonable by respondents; however, some respondents noted that cold chain investment was not included in their costing

Sample Collection includes:

•Number of clinics served•Personnel involved in sample collection•Personnel supervision of sample collec-tion•Total number of specimens received•Throughput•Materials required, such as latex gloves, alcohol swabs, waste disposal materials•Transport: including vehicle cost, frequency, distance traveled, fuel costs; as transport is often combined for several different types of tests, the transport costs were divided by the types of samples transported

Relaying test results includes:

•Personnel relaying the test results•Throughput, such as paperwork time, counseling time spent deliver-ing results, administration costsFor non-electronic delivery of results:•Vehicle costs, distance traveled, frequency of delivery and fuel costsIf electronic delivery of results:•Number of mobile-health accessible clinics and cost of message delivery

COLD

CHAIN

COSTING CATEGORIES