دورية أكاديمية
Cost-effectiveness of malaria elimination in Sampov Loun Operational District, Cambodia.
| العنوان: | Cost-effectiveness of malaria elimination in Sampov Loun Operational District, Cambodia. |
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| المؤلفون: | Por I; National Institute of Public Health, Phnom Penh, Cambodia., Sovannaroth S; National Malaria Control Program, Phnom Penh, Cambodia., Moran A; University Research Co., LLC (URC), Chevy Chase, MD, USA., Dysoley L; National Malaria Control Program, Phnom Penh, Cambodia., Nguon S; PMI/USAID Cambodia Malaria Elimination Project, Phnom Penh, Cambodia., Bunthy O; Sampov Loun Operational District, Battambang Province, Cambodia., Meas MS; Sampov Loun Operational District, Battambang Province, Cambodia., Barat L; US President's Malaria Initiative, United States Agency for International Development,Washington DC, USA., Slot R; US President's Malaria Initiative, United States Agency for International Development,Washington DC, USA., Thangadurai S; PMI/USAID Cambodia Malaria Elimination Project, Phnom Penh, Cambodia., Kapella BK; US President's Malaria Initiative, United States Agency for International Development,Washington DC, USA., Hassan SE; US President's Malaria Initiative, United States Agency for International Development,Washington DC, USA., Po L; National Malaria Control Program, Phnom Penh, Cambodia., An SS; PMI/USAID Cambodia Malaria Elimination Project, Phnom Penh, Cambodia., Gimnig JE; US President's Malaria Initiative, United States Agency for International Development,Washington DC, USA., McDowell M; US President's Malaria Initiative, United States Agency for International Development,Washington DC, USA., Thigpen M; US President's Malaria Initiative, United States Agency for International Development,Washington DC, USA., Armistead J; US President's Malaria Initiative, United States Agency for International Development,Washington DC, USA., AlMossawi HJ; University Research Co., LLC (URC), Chevy Chase, MD, USA., Kheang ST; National Institute of Public Health, Phnom Penh, Cambodia.; PMI/USAID Cambodia Malaria Elimination Project, Phnom Penh, Cambodia., Kak N; University Research Co., LLC (URC), Chevy Chase, MD, USA. |
| المصدر: | MalariaWorld journal [Malariaworld J] 2020 Apr 01; Vol. 11, pp. 2. Date of Electronic Publication: 2020 Apr 01 (Print Publication: 2020). |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Dutch Malaria Foundation Country of Publication: Netherlands NLM ID: 101626381 Publication Model: eCollection Cited Medium: Internet ISSN: 2214-4374 (Electronic) Linking ISSN: 22144374 NLM ISO Abbreviation: Malariaworld J Subsets: PubMed not MEDLINE |
| أسماء مطبوعة: | Original Publication: Dodewaard, The Netherlands : Dutch Malaria Foundation, [2010]- |
| مستخلص: | Background: Over the past decade, Cambodia has seen a significant decline in its malaria burden. The government has established the goal of eliminating malaria in the country by 2025. With PMI/USAID support, Cambodia is implementing a package of interventions as part of its efforts. This assessment aimed to describe the cost of malaria elimination activities in Sampov Loun Operational District (OD) between July 2015 and March 2018, to describe the cost per malaria case detected under PMI programming, and to estimate the incremental cost-effectiveness of the elimination programme per Plasmodium falciparum ( Pf ) or P. vivax ( Pv )/ Pf mixed case averted under the Cambodia Malaria Elimination Programme (CMEP) and the U.S. President's Malaria Initiative. Opportunity costs of government workers were also assessed to understand the theoretical cost of sustaining this programme through government efforts alone. Materials and Methods: We conducted an empirical micro-costing analysis based on elimination activities alone using CMEP internal project implementation data and corresponding epidemiologic data from July 2015 to March 2018 and empirical findings from implementation to date. We then constructed a cost model in Microsoft Excel using empirical data and used a cost-effectiveness decision tree to describe programme effectiveness in the first three years of implementation and to estimate efficacy for the subsequent year. Results: The total cost of malaria elimination activities in Sampov Loun OD from July 2015 to March 2018 was $883,096. The cost per case of malaria detected in 2017 was $1,304. Including opportunity costs for government staff from July 2015 to March 2018, the total cost was $926,000. Under continued CMEP implementation, the projected future total cost of the program would be about $110,000 per year, or $0.64 per Sampov Loun resident. The incremental cost-effectiveness of the elimination programme was $28 for every additional Pf or Pv/Pf mix malaria case averted, compared to the no-CMEP proxy. Conclusion: CMEP activities are cost effective compared to the no-CMEP proxy, as shown through an incremental cost-effectiveness of $28 for every additional Pf or Pv/Pf mix malaria case averted. The total cost of the project is 0.93% of the total per capita spending on health in Cambodia and about 5% of all government health expenditure. Continuing investments in malaria will be needed at national level for stewardship and governance and at local level for ensuring programme readiness in case of malaria outbreaks. (Copyright © 2020 Ir et al.) |
| References: | Trop Med Int Health. 2015 Jul;20(7):840-63. (PMID: 25753454) Am J Trop Med Hyg. 2004 Aug;71(2 Suppl):187-95. (PMID: 15331837) Southeast Asian J Trop Med Public Health. 1999;30 Suppl 4:i-iv, 1-101. (PMID: 10935286) Malar J. 2016 Feb 25;15:120. (PMID: 26916933) Heliyon. 2017 Nov 20;3(11):e00447. (PMID: 29202107) Trop Med Int Health. 2007 Sep;12(9):1026-36. (PMID: 17875014) Acta Trop. 2017 Oct;174:56-63. (PMID: 28666890) Malar J. 2014 Sep 30;13:385. (PMID: 25266007) |
| تواريخ الأحداث: | Date Created: 20210917 Latest Revision: 20220426 |
| رمز التحديث: | 20231215 |
| مُعرف محوري في PubMed: | PMC8415074 |
| PMID: | 34532221 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 2214-4374 |
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