非政府组织与政府合作伙伴关系的可负担性,以社区为基础的残疾康复为基础
Kelsey R Vaughan1, Ram K Thapa2
1Bang for Buck Consulting, Amsterdam, The Netherlands.
African journal of disability
|January 15, 2024
概括
刚果民主共和国的Tunafasi社区康复计划的成本为每一年的残疾调整寿命 (DALY) 避免了224美元,超过了负担能力值. 未来的参与和流行后的护理可能会提高残疾服务的成本效益.
科学领域:
- 公共卫生 公共卫生
- 卫生经济学 卫生经济学
- 关于残疾人的研究.
背景情况:
- 图纳法西计划是针对刚果民主共和国乌维拉地区残疾人的社区康复 (CBR) 计划.
- 它是由当地非政府组织与政府合作实施的.
研究的目的:
- 评估Tunafasi CBR计划的健康部分的成本效益和可负担性.
- 为与政府就持续的融资和实施进行讨论提供信息.
主要方法:
- 在2019年2月至2021年12月期间实施的健康组件进行了成本效益分析.
- 在511名参与者中,健康改善被衡量为因残疾调整的生命年 (DALYs) 避免.
- 总成本是从经过审计的财务报表中得出的,每DALY避免的成本与国家特定的负担能力值进行了比较.
主要成果:
- 该计划的实施成本为55,729.00美元,避免了234个DALY.
- 每个DAILY避免的成本为224.00美元,超过了54.00美元 - 199.00美元的可负担性门.
结论:
- 目前每DALY避免的成本超过了刚果民主共和国的负担能力值.
- 预计改善参与度和流行后治疗可访问性将提高未来的结果.
- 这种CBR模式为非洲政府履行残疾承诺提供了一个潜在的解决方案.
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