Cost effectiveness of Aedes aegypti control programmes:: participatory versus vertical
Cost effectiveness of Aedes aegypti control programmes:: participatory versus vertical
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DOI：
10.1016/j.trstmh.2007.01.002
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发表时间：
2007-06-01
影响因子：
2.2
通讯作者：
Van der Stuyft, P.
中科院分区：
文献类型：
--
作者：
Baly, A.;Toledo, M. E.;Van der Stuyft, P.
我们进行了埃及伊蚊控制的两个战略的经济评估：垂直与社区为基础的方法。计算了2000-2002年期间古巴圣地亚哥三个实施社区干预的试点地区的成本，并与三个实施常规垂直方案活动的控制地区进行了比较。减少A。选择埃及疫源地作为衡量有效性的尺度。干预前的疫源地数量（614 vs. 632）和病媒控制的经济成本（243 746美元vs. 263 486美元）在干预区和控制区是相当的。在干预期间（2001-2002年），卫生系统的经常性费用下降了13%。在控制区内，这些经常性相对成本保持稳定。A.试验区和对照区的埃及伊蚊疫源地分别减少了459个和467个。从卫生系统的角度（每个重点964美元对1 406美元）以及从社会的角度（每个重点1 508美元对1 767美元）来看，以社区为基础的方法更具成本效益。(C)2007年皇家热带医学和卫生学会。由爱思唯尔有限公司出版。保留所有权利。
We conducted an economic appraisal of two strategies for Aedes aegypti control: a vertical versus a community-based approach. Costs were calculated for the period 2000-2002 in three pilot areas of Santiago de Cuba where a community intervention was implemented and compared with three control areas with routine vertical programme activities. Reduction in A. aegypti foci was chosen as the measure of effectiveness. The pre-intervention number of foci (614 vs. 632) and economical costs for vector control (US$243 746 vs. US$263 486) were comparable in the intervention and control areas. During the intervention period (2001-2002), a 13% decrease in recurrent costs for the health system was observed. Within the control areas, these recurrent relative costs remained stable. The number of A. aegypti foci in the pilot areas and the control areas fell by 459 and 467, respectively. The community-based approach was more cost effective from a health system perspective (US$964 vs. US$1406 per focus) as well as from society perspective (US$1508 vs. US$1767 per focus). (C) 2007 Royal Society of Tropical Medicine and Hygiene. Published by Elsevier Ltd. All rights reserved.