Table 2

 Cost-effectiveness per DALY saved (2005 US$) of each POC test using Tanzanian life expectancy. Uncertainty bounds are in brackets

POC testTest done on serum*Test done on blood†
DALYs savedCost/DALY saved% of RPR cost/DALY savedDALYs savedCost/DALY saved% of RPR cost/DALY saved
*The impact and cost-effectiveness estimates for when the POC test is done on serum use sensitivity and specificity estimates derived from the reference laboratory.
† The impact and cost-effectiveness estimates for when the POC test is done on blood use sensitivity and specificity estimates derived from antenatal clinic.
DALY, disability-adjusted life year; POC, point-of-care; RPR, rapid plasma reagin.
RPR test132112.0100%
Determine (Abbot)1316 (746–1532)17.0 (14.3–29.5)141% (119–247%)1309 (681–1529)16.8 (14.0–31.5)140% (117–263%)
Visitect (Omega)1373 (877–1532)14.3 (12.6–22.4)119% (105–187%)1373 (935–1531)14.1 (12.4–20.7)118% (104–173%)
Syphcheck (Qualpro)1390 (887–1531)14.1 (12.6–21.9)118% (105–183%)1397 (972–1532)13.9 (12.5–19.7)116% (104–164%)
Bioline (Standard)1430 (1127–1532)11.8 (10.9–15.0)99% (91–125%)1372 (914–1530)12.1 (10.7–18.1)101% (89–151%)