Maternal tetanus immunization in Aceh Province, Sumatra: the cost-effectiveness of alternative strategies.

Maternal tetanus immunization in Aceh Province, Sumatra: the cost-effectiveness of alternative strategies.
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苏门答腊亚齐省孕产妇破伤风免疫接种:替代策略的成本效益。

DOI:
10.1016/0277-9536(91)90179-g
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发表时间:
1991
影响因子:
5.4
通讯作者:
Iskandar
Iskandar
中科院分区:
医学2区
文献类型:
--
作者:
Peter Berman;John Quinley;Burhannuddin Yusuf;Syaifuddin Anwar;Udin Mustaini;A. Azof;Iskandar

文献摘要

被引文献

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This paper compares the cost per completed maternal tetanus immunization and an estimate of the cost per death averted in the routine EPI program with similar results from an experimental mass campaign in Aceh Province, Indonesia. The cost-effectiveness of the mass campaign in achieving complete immunization is similar to the routine program. However, the mass campaign is probably less cost-effective in averting neonatal tetanus deaths, due to its broader targetting. Factors affecting efficiency, coverage, and financing of tetanus immunization programs are assessed. While expansion of the routine EPI program is the preferred goal, mass campaigns are judged to be a reasonable part of the multi-year strategy for tetanus control in the province. Recent experiments with an accelerated routine program may provide further alternatives.