Skip to main content

Table 5 Affordability: Number of days' wages of worker making lowest paid government wages needed to purchase standard treatments

From: Availability, prices and affordability of the World Health Organization’s essential medicines for children in Guatemala

Disease condition and ‘standard’ treatment

Day’s wages to pay for treatment

Condition

Drug name, strength, dosage form

Treatment schedule

Lowest price medication - Private Sector

Lowest price medication - PROAM sector

Respiratory Tract Infections, UTIs

Amoxicillin Suspension 125 mg/5 mL

Child up to 10 years: 125mg (=5ml) x 3 x 7 days = 105 ml

1.3

n/a

Respiratory Tract Infections, UTIs

Amoxicillin Suspension 250 mg/5 mL

Child over 10 years: 250mg (=5ml) x 3 x 7 days = 105 ml

1.3

0.2

Respiratory Tract Infections, Otitis Media

Amoxicillin-Clavulanic Acid Suspension 125–31.25mg/5 ml

Child 1–6 years: 125mg (=5ml) x 3 x 7 days = 105 ml

2.2

n/a

Respiratory Tract Infections, Otitis Media

Amoxicillin-Clavulanic Acid Suspension 250–62.5mg/5 ml

Child over 10 years: 250mg (=5ml) x 3 x 7 days = 105 ml

2.6

0.6

Seizure Disorder

Carbamazepine Suspension 100mg/5ml

Maintenance treatment: 5mg/kg x 18 kg* x 3 x 30 days = 8100mg or 405 mL for 1 month.

6.6

n/a

Infections due to Susceptible Organisms

Ceftriaxone 500 mg vial

Child under 50 kg: Maximum 1 gram daily x 7 days.

15

1.8

Infections due to Susceptible Organisms

Cotrimoxazole

18 kg x 4mg/kg = 72 mg TMP x 2 x 7 days = 1008 mg. 126 ml total for 7 days.

0.8

0.1

Dehydration

Oral Rehydration Solution, powder to make 500 mL

Moderate Dehydration: 75mL/kg x 18 kg = 1350

0.1

n/a

Pneumonia

Procaine Penicillin G

50mg/kg x 18 kg = 900mgx10 days = 9000mg

1.7

0.4

Pain/inflammation

Paracetamol 24mg/ml suspension

5 year old child: 15mg/kg x 18 kg x 4 x 3 = 3240 mg (=130 mL)

0.5

0.1

Asthma

Salbutamol 100 mcg/dose inhaler

1 inhaler of 200 doses

1.3

0.3

Xerophthalmia

Vitamin A 50,000 units

Child 1–12 years: 200,000 units x 3 doses

0.4

n/a

  1. *Weight of average 5 year old child in Guatemala = 18 kg [31, 32].