scholarly journals Establishing the cost of Xpert MTB/RIF mobile testing in high-burden peri-mining communities in South Africa

2021 ◽  
Vol 10 (1) ◽  
Author(s):  
Naseem Cassim ◽  
Lindi M. Coetzee ◽  
Abel L. Makuraj ◽  
Wendy S. Stevens ◽  
Deborah K. Glencross

Background: Globally, tuberculosis remains a major cause of mortality, with an estimated 1.3 million deaths per annum. The Xpert MTB/RIF assay is used as the initial diagnostic test in the tuberculosis diagnostic algorithm. To extend the national tuberculosis testing programme in South Africa, mobile units fitted with the GeneXpert equipment were introduced to high-burden peri-mining communities.Objective: This study sought to assess the cost of mobile testing compared to traditional laboratory-based testing in a peri-mining community setting.Methods: Actual cost data for mobile and laboratory-based Xpert MTB/RIF testing from 2018 were analysed using a bottom-up ingredients-based approach to establish the annual equivalent cost and the cost per result. Historical cost data were obtained from supplier quotations and the local enterprise resource planning system. Costs were obtained in rand and reported in United States dollars (USD).Results: The mobile units performed 4866 tests with an overall cost per result of $49.16. Staffing accounted for 30.7% of this cost, while reagents and laboratory equipment accounted for 20.7% and 20.8%. The cost per result of traditional laboratory-based testing was $15.44 US dollars (USD). The cost for identifying a tuberculosis-positive result using mobile testing was $439.58 USD per case, compared to $164.95 USD with laboratory-based testing.Conclusion: Mobile testing is substantially more expensive than traditional laboratory services but offers benefits for rapid tuberculosis case detection and same-day antiretroviral therapy initiation. Mobile tuberculosis testing should however be reserved for high-burden communities with limited access to laboratory testing where immediate intervention can benefit patient outcomes.

Author(s):  
Shailesh Birthare ◽  
Surabhi Tripathi

Enterprise Resource Planning, a collective integrated approach for all business solutions, has been broadly accepted across various industries since 1990 as the upcoming generation of Manufacturing Business System and Manufacturing Resource Planning software. ERP can be taken as to be “the cost of entry for running and growing a business” (Kumar and van Hillegersberg, 2000). An ERP is an information system, which seamlessly integrated and configured for planning, execution and managing all the resources and their maximum use in the enterprise, and streamlines and incorporates the business threads within and across the functional or technical boundaries in the enterprises. With the use of such information system, an organization can automate its elementary business requirements by reducing the complexity and cost of the related integrations for its components. Enterprise may also apply business process reengineering for optimum utilization of its ERP system, and finally output as growth in business can be recorded. Thus, ERP Security plays major role in protecting an organization business data and their employee’s and customer information as well. Study of Access Control Model of ERP Security is very important to keep the enterprise IT environment safe and secure. This paper focuses on the Risk of Fraudulent behavior of user roles across in terms of usage of ERP system. The case study used the information and data based on questionnaire and various inputs from industry experts.


Author(s):  
A. V. Damarad ◽  
V. P. Shcherbakova

The need to account for cost price occupies an important place in the enterprise management system. One of the important tasks of accounting for cost price is to control the cost of production. The cost price includes the total costs necessary for the enterprise to carry out production and commercial activities related to the production and sale of products, that is, everything that the enterprise costs to produce and sell products.To determine the economic benefits of selling the company’s finished products, it is necessary to know the final cost of the proposed contract. The amount of profit directly depends on the correctness of setting the sales price of products. This article discusses the assessment of the economic effect when modeling various contract positions based on the cost price of the enterprise, which will allow you to quickly solve production issues.The source data is information stored in the SAP ERP (Enterprise Resource Planning System) system: materials, component lists, component standards, etc. The source data processing and analysis system is SAP BI (Business Intelligence). To display the final result, we use a program designed for working with Microsoft Excel spreadsheets.


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