Fulltext

Controlling schistosomiasis: the cost-effectiveness of alternative delivery strategies

GUYATT, HELEN ; EVANS, DAVID ; LENGELER, CHRISTIAN ; TANNER, MARCEL

In: Health Policy and Planning, 1994, vol. 9, no. 4, p. 385-395

Ajouter à la liste personnelle
    Titre
    • Controlling schistosomiasis: the cost-effectiveness of alternative delivery strategies
    Auteur
    • GUYATT, HELEN. Department of Public Health and Epidemiology, Swiss Tropical Institute Basel, Switzerland
    • EVANS, DAVID. Special Programme for Research and Training in Tropical Diseases, World Health Organization Geneva, Switzerland
    • LENGELER, CHRISTIAN. Tropical Health Epidemiology Unit, London School of Hygiene and Tropical Medicine UK
    • TANNER, MARCEL. Department of Public Health and Epidemiology, Swiss Tropical Institute Basel, Switzerland
    Type de document
    • Postprint
    Langue
    • Anglais
    Publié dans
    • Health Policy and Planning, 1994, vol. 9, no. 4, p. 385-395. Oxford University Press
    Autre version électronique
    Classification
    • Santé
    Mots clés
    Identifiant OAI-PMH
    • oai:doc.rero.ch:293012
    Summary
    Sustainable schistosomiasis control cannot be based on large-scale vertical treatment strategies in most endemic countries, yet little is known about the costs and effectiveness of more affordable options. This paper presents calculations of the cost-effectiveness of two forms of chemotherapy targeted at schoolchildren and compares them with chemotherapy integrated into the routine activities of the primary health care system. The focus is on Schistosoma haematobium. Economic and epidemiological data are taken from the Kilombero District of Tanzania. The paper also develops a framework for possible use by programme managers to evaluate similar options in different epidemiological settings. The results suggest that all three options are more affordable and sustainable than the vertical strategies for which cost data are available in the literature. Passive testing and treatment through primary health facilities proved the most effective and cost-effective option given the screening and compliance rates observed in the Kilombero District