The economic impact of malaria in Africa: a critical review of the evidence
The economic impact of malaria in Africa: a critical review of the evidence
复制标题
DOI：
10.1016/s0168-8510(02)00036-2
复制
发表时间：
2003-01-01
期刊：
影响因子：
3.3
通讯作者：
Mills, A
中科院分区：
文献类型：
--
作者：
Chima, RI;Goodman, CA;Mills, A
需要关于非洲疟疾经济负担的信息，以便有效和公平地确定干预措施的目标，并证明对研究和控制的投资是合理的。一种标准的估算方法是将预防和治疗支出的直接成本与生产劳动时间损失的间接成本相加。本文讨论了使用这些数据来反映对社会的负担或从控制中获得的潜在好处的许多问题。研究通常集中在发热性疾病上，高估了简单疟疾的负担，但低估了严重疾病、其他令人衰弱的表现和死亡率的代价。许多人使用疲弱的数据来计算间接成本，这些成本没有考虑到季节性变化、劳动力平均产出和边际产出之间的差异，以及家庭和企业应对疾病发作的方式。也许最重要的是，应对疾病风险的应对机制的成本被排除在外，尽管它们可能会对生产战略和经济增长产生重大影响。今后的工作应立足于对疟疾的健康负担和经济活动的组织有充分的了解，并处理对生产环境的影响以及流行病和社会经济地理差异。(C)2002爱思唯尔科学爱尔兰有限公司。保留所有权利。
Information on the economic burden of malaria in Africa is needed to target interventions efficiently and equitably, and to justify investment in research and control. A standard method of estimation has been to sum the direct costs of expenditure on prevention and treatment, and the indirect costs of productive labour time lost. This paper discusses the many problems in using such data to reflect the burden to society or the potential benefits from control. Studies have generally focussed on febrile illness, overestimating the burden of uncomplicated malaria, but underestimating the costs of severe illness, other debilitating manifestations, and mortality. Many use weak data to calculate indirect costs, which fail to account for seasonal variations, the difference between the average and marginal product of labour, and the ways households and firms 'cope' in response to illness episodes. Perhaps most importantly, the costs of coping mechanisms in response to the risk of disease are excluded, although they may significantly affect productive strategies and economic growth. Future work should be rooted in a sound understanding of the health burden of malaria and the organisation of economic activities, and address the impact on the productive environment, and epidemiological and socio-economic geographical variation. (C) 2002 Elsevier Science Ireland Ltd. All rights reserved.