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Cost-effectiveness of environmental management for vector control in resource development projects.
1Community Water Supply and Sanitation Unit, World Health Organization, Geneva, Switzerland.
Annales De La Societe Belge De Medecine Tropicale
|January 1, 1991
Summary
Integrating environmental management into vector control is crucial for public health and economic sustainability. Strategies like dual-benefit measures or cost separation can make vector control affordable, especially in developing nations.
Area of Science:
- Public Health
- Environmental Science
- Health Economics
Background:
- Vector control methods are categorized as chemical, biological, and environmental management, each with distinct financial implications.
- Environmental modification for vector control is capital-intensive, contrasting with recurrent costs of chemical and biological approaches, making discount rates critical in decision-making.
- Economic barriers, such as the Internal Rate of Return criterion and national debt, often impede the integration of environmental management into resource projects.
Purpose of the Study:
- To explore affordable strategies for incorporating environmental management into vector control projects.
- To address the lack of cost-effectiveness data for vector control strategies in developing countries.
- To facilitate the integration of vector control into general health services.
Main Methods:
- Analysis of financial and economic aspects of different vector control strategies.
- Identification of dual-benefit environmental management measures (e.g., agricultural production and disease reduction).
- Examination of cost separation techniques for structural modifications in project funding.
Main Results:
- Environmental management measures can offer dual benefits or be implemented at zero cost, enhancing affordability.
- Separating the costs of structural modifications from project development can facilitate funding.
- Bilateral technical cooperation agencies can provide financial support for environmental and health initiatives.
Conclusions:
- Affordable integration of environmental management in vector control is achievable through dual-benefit approaches and innovative financial strategies.
- Addressing economic barriers is essential for implementing effective vector control in developing countries.
- Further research on cost-effectiveness is needed to guide policy and practice in integrating vector control into health services.