Estimation of the cost of large-scale school deworming programmes with benzimidazoles.

Estimation of the cost of large-scale school deworming programmes with benzimidazoles.
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DOI:
10.1016/j.trstmh.2009.10.007
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发表时间:
2010-03
影响因子:
2.2
通讯作者:
Engels D
Engels D
中科院分区:
医学4区
文献类型:
--
作者:
Montresor A;Gabrielli AF;Diarra A;Engels D

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本研究估计了在学校驱虫规划背景下分发苯并咪唑片的成本:我们分析了世卫组织四个区域七个国家报告学校驱虫成本的研究。为100万名儿童采购药品(包括清关和国际运输)的估计费用约为20 000美元。估计的财政费用(包括人员培训、毒品运输、社会动员和监测的费用)平均相当于每百万学龄儿童33 000美元,不同国家和大陆的差异很小。为覆盖100万名儿童而进行分发的估计经济成本(包括中央、省和地区各级教师和卫生人员花费的时间)大约相当于19 000美元。这项研究表明,学校驱虫活动的费用最低,但也表明,即使在药物捐赠和捐助者支持分配费用的情况下,流行国家的卫生和教育系统也提供了重大贡献(相当于该方案全部费用的四分之一)。
This study estimates the cost of distributing benzimidazole tablets in the context of school deworming programmes: we analysed studies reporting the cost of school deworming from seven countries in four WHO regions. The estimated cost for drug procurement to cover one million children (including customs clearance and international transport) is approximately US$20 000. The estimated financial costs (including the cost of training of personnel, drug transport, social mobilization and monitoring) is, on average, equivalent to US$33 000 per million school-age children with minimal variation in different countries and continents. The estimated economic costs of distribution (including the time spent by teachers, and health personnel at central, provincial and district level) to cover one million children approximately corresponds to US$19 000. This study shows the minimal cost of school deworming activities, but also shows the significant contribution (corresponding to a quarter of the entire cost of the programme) provided by health and education systems in endemic countries even in the case of drug donations and donor support of distribution costs.
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