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Table 4 Affordability: number of days' wage of lowest paid unskilled government worker makes to purchase standard treatments

From: Availability and affordability of essential medicines for children in the Western part of Ethiopia: implication for access

Conditions

Drug name, strength, dosage form

Treatment schedule

Days wages to pay for treatment

Public sector

Private sector

Typhoid fever

Chloramphenicol 1gm vial

25 mg/kg * 14.5 kg every 6 hours P.O. for 14 days = 20300 mg = 20.3gm 21vial [26].

8.7

10.2

Asthma

Salbutamol 100 mcg/dose inhaler

1 inhaler of 200doses [27].

1.5

2.9

Dysentery

Cotrimoxazole 40 mg + 200 mg/5 ml Suspension

24 mg/kg * 14.5 kg BID for 5 days = 3480 mg.72.5 ml total for five days [27].

0.4

0.5

Severe Pneumonia

Penicillin G 1 million IU vial

50 000 units/kg a14.5 kg IV every 4 hours for at least 3 days = 13.05 millions of IU = 14vial for three days [27].

3.1

3.4

Acute otitis media

Amoxicillin 250 mg/5 ml Suspension

250 mg/5 ml P.O. TID for 10 days for children above 6 years of age = 150 ml [27].

1.6

1.8

Acute rhinosinusitis

Amoxicillin- Clav 156 mg/5 ml

156 mg/5 ml P.O. TID for 10dys = 150 ml [27].

2.5

5.9

Acute bacterial tonsillitis

Amoxicillin- Clav 156 mg/5 ml

156 mg/5 ml P.O. BID for ten days = 150 ml [27].

2.5

5.9

Dehydration

ORS to make 1litre

Moderate dehydration 75 ml/kg * 14.5 = 1087.5 [27].

0.3

0.5

Infections due to susceptible organism

Ceftriaxone 500 mg vial

Child under 50 kg maximum 1gm for 7 days [27].

5.8

30.7

Pain/managenment

Paracetamol 125 mg/5 ml Suspension

5 year old child: 15 mg/kg*14.5 kg*4*3 = 104.4 ml [27].

0.8

0.8

  1. *Weight of average 5 year old child in Ethiopia = 14.5 kg [13, 34]
  2. P.O. per oral, BID two times per a day, TID three times per a day