Cost of community integrated prevention campaign for malaria, HIV, and diarrhea in rural Kenya.
Cost of community integrated prevention campaign for malaria, HIV, and diarrhea in rural Kenya.
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DOI：
10.1186/1472-6963-11-346
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发表时间：
2011-12-21
影响因子：
2.8
通讯作者：
Garg N
中科院分区：
文献类型：
--
作者：
Kahn JG;Harris B;Mermin JH;Clasen T;Lugada E;Grabowksy M;Vestergaard Frandsen M;Garg N
提供基于社区的艾滋病毒、疟疾和腹泻预防服务是非洲农村地区的一个主要优先事项和挑战。综合交付运动可提供一种实现高覆盖率和高效率的机制。我们量化了在肯尼亚西部省Lurambi省实施大规模综合预防运动的资源和成本，该运动在7天内达到47，133人（和83%的合格成年人）。这场运动提供了艾滋病毒检测、避孕套和预防教育材料;一顶经杀虫剂处理的长效蚊帐;以及一个滤水器。数据主要来自执行伙伴保存的后勤和支出数据。我们估计了扩大复制（SUR）的预计成本，假设依赖于当地管理人员，规模的潜在效率和其他调整。在最初的运动中，每人获得服务的费用为41.66美元，预计在南方共同市场中为31.98美元。SUR费用包括67%的商品（主要是滤水器和蚊帐）和20%的人员费用。SUR预测，按疾病分类，疟疾（蚊帐和培训）的人均单位成本为6.27美元，腹泻（过滤器和培训）为15.80美元，艾滋病毒（每个站点的检测试剂盒，咨询，避孕套和CD 4检测）为9.91美元。一项大规模、迅速实施的综合保健运动以相对较低的费用为肯尼亚80%的农村人口提供服务。扩大这一设计可以以较低的人均成本向更多的人口提供类似的服务。
Delivery of community-based prevention services for HIV, malaria, and diarrhea is a major priority and challenge in rural Africa. Integrated delivery campaigns may offer a mechanism to achieve high coverage and efficiency. We quantified the resources and costs to implement a large-scale integrated prevention campaign in Lurambi Division, Western Province, Kenya that reached 47,133 individuals (and 83% of eligible adults) in 7 days. The campaign provided HIV testing, condoms, and prevention education materials; a long-lasting insecticide-treated bed net; and a water filter. Data were obtained primarily from logistical and expenditure data maintained by implementing partners. We estimated the projected cost of a Scaled-Up Replication (SUR), assuming reliance on local managers, potential efficiencies of scale, and other adjustments. The cost per person served was $41.66 for the initial campaign and was projected at $31.98 for the SUR. The SUR cost included 67% for commodities (mainly water filters and bed nets) and 20% for personnel. The SUR projected unit cost per person served, by disease, was $6.27 for malaria (nets and training), $15.80 for diarrhea (filters and training), and $9.91 for HIV (test kits, counseling, condoms, and CD4 testing at each site). A large-scale, rapidly implemented, integrated health campaign provided services to 80% of a rural Kenyan population with relatively low cost. Scaling up this design may provide similar services to larger populations at lower cost per person.
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DOI：
10.2471/blt.04.018606
发表时间：
2006-07-10
期刊：
Bulletin of the World Health Organization: International Journal of Public Health
影响因子：
--
作者：
Hausler, Harry Peter;Sinanovic, Edina;Godfrey-Faussett, Peter
通讯作者：
Godfrey-Faussett, Peter
影响因子：
3.3
作者：
Grabowsky, M;Farrell, N;Selanikio, J
通讯作者：
Selanikio, J
影响因子：
12.7
作者：
Dye, Timothy De Ver;Apondi, Rose;DasBanerjee, Tania
通讯作者：
DasBanerjee, Tania
影响因子：
3
作者：
Dye, Timothy D. V.;Apondi, Rose;Othoro, Caroline
通讯作者：
Othoro, Caroline
影响因子：
3
作者：
Mulligan, Jo-Ann;Yukich, Joshua;Hanson, Kara
通讯作者：
Hanson, Kara