191か国における貧血の削減のための費用対効果の高い目標:モデル研究
Robin Blythe1, Natalie Carvalho2, Jacinta Holloway-Brown3
1Health Services and Systems Research, Duke-NUS Medical School, Singapore; School of Mathematical Sciences, Queensland University of Technology, Brisbane, QLD, Australia.
The Lancet. Haematology
|August 29, 2025
まとめ
女性の貧血減少の目標は達成不可能です 新しい健康経済モデルによると 2030年までに17%の削減が可能で 人々の発展に現実的な進歩をもたらします
科学分野:
- 世界保健
- 健康 経済
- 流行病学について
背景:
- 貧血は世界的な健康と経済的課題を 引き起こしています
- 生殖年齢の女性の貧血の減少に関する現在の国際目標を達成することは不可能です.
- 現存する目標は,達成可能な介入ではなく,理想的なものです.
研究 の 目的:
- 実現可能で野心的な世界的な健康目標の設定のための新しい方法を提案する.
- 健康経済モデルを用いて,生殖年齢の女性の貧血の達成可能な削減目標を設定する.
- 貧血を減らすための介入の費用対効果を評価する.
主な方法:
- 貧血の目標設定のための国レベルの健康経済モデルを開発しました.
- 貧血の流行,介入の有効性,コスト,費用対効果の値に関する国別統合データ
- 国のレベルでの費用対効果の値 (人当たりのGDPの1倍) の範囲内で健康上の利益を最大化するために適用された介入
- モンテカルロシミュレーションとシナリオ分析を用いて不確実性を評価した.
主要な成果:
- 2030年までに15~49歳の女性の貧血を削減する野心的で,達成可能で,費用対効果の高い目標は17% (95% UI 5~34) です.
- 費用の制約を取り除くことで達成できる最大減量は22% (11-36) です.
- 現在の持続可能な開発目標の50%の削減目標は,既存の介入では達成できない.
- 各国の削減目標は 0% から 29% に及ぶ.
結論:
- 値に基づく世界的な貧血減少目標は,現在の国際的コミットメントより低い値であるべきです.
- 達成可能な介入と費用対効果に基づく目標の設定は,さまざまな国の文脈で進歩のためのより良いインセンティブを提供します.
- このアプローチは 人口開発と世界保健イニシアチブに関して より現実的な予測を可能にします
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