Uganda experience—Using cost assessment of an established registry to project resources required to expand cancer registration
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Date
2016
Journal Title
Journal ISSN
Volume Title
Publisher
Cancer epidemiology
Abstract
The objectives of this study are (1) to estimate the cost of operating the Kampala Cancer
Registry (KCR) and (2) to use cost data from the KCR to project the resource needs and cost of expanding
and sustaining cancer registration in Uganda, focusing on the recently established Gulu Cancer Registry
(GCR) in rural Northern Uganda.
Methods: We used Centers for Disease Control and Prevention’s (CDC’s) International Registry Costing
Tool (IntRegCosting Tool) to estimate the KCR’s activity-based cost for 2014. We grouped the registry
activities into
fixed cost, variable core cost, and variable other cost activities. After a comparison KCR and
GCR characteristics, we used the cost of the KCR to project the likely ongoing costs for the new GCR.
Results: The KCR incurred 42% of its expenditures in
fixed cost activities, 40% for variable core cost
activities, and the remaining 18% for variable other cost activities. The total cost per case registered was
28,201 Ugandan shillings (approximately US $10 in 2014) to collect and report cases using a combination
of passive and active cancer data collection approaches. The GCR performs only active data collection, and
covers a much larger area, but serves a smaller population compared to the KCR.
Conclusion: After identifying many differences between KCR and GCR that could potentially affect the cost
of registration, our best estimate is that the GCR, though newer and in a rural area, should require fewer
resources than the KCR to sustain operations as a stand-alone entity. The optimal structure of the GCR
needs to be determined in the future.
Description
Keywords
Uganda, Kampala Cancer Registry, Gulu Cancer Registry, Activity-based cost, Economic evaluation
Citation
Wabinga, H., Subramanian, S., Nambooze, S., Amulen, P. M., Edwards, P., Joseph, R., ... & Tangka, F. (2016). Uganda experience—using cost assessment of an established registry to project resources required to expand cancer registration. Cancer epidemiology, 45, S30-S36. http://dx.doi.org/10.1016/j.canep.2016.11.004