撒哈拉以南非洲疟疾控制的成本效益
C A Goodman1, P G Coleman, A J Mills
1Department of Public Health and Policy, London School of Hygiene and Tropical Medicine, UK. c.goodman@lshtm.ac.uk
Lancet (London, England)
|August 7, 1999
概括
有经济有效的疟疾控制干预措施可用,但对于非常低收入国家来说,一个全面的方案是无法承受的. 外部捐助者援助对于向非洲的弱势群体提供疟疾预防和治疗至关重要.
科学领域:
- 公共卫生 公共卫生
- 卫生经济学 卫生经济学
- 热带医学 热带医学
背景情况:
- 有限的成本效益数据阻碍了世卫组织的"逆转疟疾"运动.
- 数学模型被用来评估撒哈拉以南非洲地区的疟疾控制干预措施.
研究的目的:
- 计算关键疟疾预防和治疗干预措施的成本效益比率.
- 在不同的经济环境中为疟疾控制计划的资源分配提供信息.
主要方法:
- 干预措施的分析,包括用杀虫剂处理的网,房屋喷,以及基于药物的预防和治疗.
- 开发概率灵敏度分析模型以估计每年残疾调整寿命 (DALY) 的成本.
- 来自已出版,未出版和专家咨询来源的数据综合.
主要成果:
- 每个避免的DALY的成本效益范围因干预和经济层次而异.
- 现有网的杀虫剂处理: $4-10;网的提供和处理: $19-85;残留喷雾: $32-58.
- 儿童化疗预防: 3-12美元;怀孕期间间歇性治疗: 4-29美元;改善病例管理: 1-8美元.
结论:
- 确定了几种具有成本效益的疟疾控制干预措施.
- 在非常低收入国家,一个全面的方案来显著降低疟疾负担是无法承受的.
- 实质性的外部捐助者支持对于有效覆盖非洲弱势人口至关重要.
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