Economic advantage of a community-based malaria management program in the Brazilian Amazon
Economic advantage of a community-based malaria management program in the Brazilian Amazon
复制标题
DOI：
10.4269/ajtmh.2001.65.883
复制
发表时间：
2001-12-01
影响因子：
3.3
通讯作者：
Piovesan-Alves, F
中科院分区：
文献类型：
--
作者：
Pang, LW;Piovesan-Alves, F
在巴西亚马逊地区，前往疟疾中心诊所进行诊断和治疗的旅费可接近一个人月薪的20%。在一个矿业城镇建立了一个pro-ram，以进行基于社区的试纸检测诊断和治疗。进行了一项经济分析，将旧方案下的预期成本与新方案下的观察成本进行了比较。数据是通过访谈、政府报告、诊所和医院记录以及社区记录获得的。诊所就诊次数减少了53%（减少了1 219次），但疟疾住院人数增加了一倍（达到191人）。新计划每年节省60，900美元（11.8K-160 K美元，灵敏度限制），比旧计划的成本降低了77%。效益成本比为9：1，其中效益是患者从旅行和工资损失中节省的费用，成本是政府药物，诊断，培训和监测费用。一个以社区为基础的计划，包括试纸测试疟疾管理可以有经济优势。
In the Brazilian Amazon, travel costs to centralized malaria clinics for diagnosis and treatment can approach 20% of one's monthly salary. A pro-ram was established in a mining town for community-based dipstick test diagnosis and treatment. An economic analysis was performed that compared expected costs under the old program to the observed costs of the new one. Data were obtained through interviews, government reports, clinic and hospital records, and community records. There was a 53% reduction (by 1,219 visits) of clinic visits but a doubling of malaria hospitalization admissions (to 191). The new program had an overall annual savings of $60,900 ($11.8K-$160K, sensitivity limits), a 77% reduction of the old program's cost. The benefit-to-cost ratio was 9:1, where benefits were patients' savings from travel and lost wages and costs were government drug, diagnostic, training, and monitoring expenses. A community-based program incorporating dipstick tests for malaria management can have economic advantages.