They also paid for the purchase of laboratory consumables and test kits.
This policy study did not address health systems support issues, such as training staff in diagnosing and treating gestational syphilis, continuous provision of consumables (syringes, test kits, drugs, etc)., and supporting district management teams in terms of programming and supervision.
Equipment costs include the glucose meters and consumables (lancets and test strips), insulin pens and consumables (needles), and insulin pumps and consumables (batteries, and infusion sets).
The consumable costs per test were calculated in determining the cost for each test method.
There are economies of scale related to running full batches including: the need for eight controls even with smaller batches, use of slightly more consumable costs per test, higher average equipment costs and increases in staff time per test.
The consumable cost per test for APM and NRA is around US$4.000 and US$3.000 respectively.
To test consumables and other products used during oocyte collection, sperm preparation, IUI, embryo culture, and IVF-embryo transfer for their possible reprotoxic properties.
These include problems with screening women within the recommended time frame, reliability and applicability of the recommended risk factors, difficulties with testing in the fasting state, poor compliance with repeat testing, time consuming nature of the tests, intolerance to high glucose load due to nausea, lack of equipment and scarcity of test consumables at primary care settings.
By comparison, MTBDR plus costs were similarly attributable largely to consumables ($14.13 per test [60%]), but also had high labor costs ($3.46 per test) and overhead costs ($4.28 per test) due to the time involved and extensive laboratory facilities needed for test performance.
Lack of test consumables and equipment were also highlighted as health system barriers for screening, detection and management of GDM. Materials needed for this include laboratory equipment, glucose solution, glucometers, equipment for monitoring foetal development as well as instruments, i.e. computers and software, for record keeping and administration.
