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Cost-effectiveness of Lifestyle Africa: an adaptation of the diabetes prevention programme for delivery by community health workers in urban South Africa

التفاصيل البيبلوغرافية
العنوان: Cost-effectiveness of Lifestyle Africa: an adaptation of the diabetes prevention programme for delivery by community health workers in urban South Africa
المؤلفون: Melanie D. Whittington, Kathy Goggin, Lungiswa Tsolekile, Thandi Puoane, Andrew T. Fox, Ken Resnicow, Kandace K. Fleming, Joshua M. Smyth, Frank T. Materia, Emily A. Hurley, Mara Z. Vitolins, Estelle V. Lambert, Naomi S. Levitt, Delwyn Catley
المصدر: Global Health Action, Vol 16, Iss 1 (2023)
بيانات النشر: Taylor & Francis Group, 2023.
سنة النشر: 2023
المجموعة: LCC:Public aspects of medicine
مصطلحات موضوعية: economic analysis, hba1c, lifestyle interventions, low- and middle-income countries, probabilistic sensitivity analysis, Public aspects of medicine, RA1-1270
الوصف: Background Lifestyle Africa is an adapted version of the Diabetes Prevention Program designed for delivery by community health workers to socioeconomically disadvantaged populations in low- and middle-income countries (LMICs). Results from the Lifestyle Africa trial conducted in an under-resourced community in South Africa indicated that the programme had a significant effect on reducing haemoglobin A1c (HbA1c). Objective To estimate the cost of implementation and the cost-effectiveness (in cost per point reduction in HbA1c) of the Lifestyle Africa programme to inform decision-makers of the resources required and the value of this intervention. Methods Interviews were held with project administrators to identify the activities and resources required to implement the intervention. A direct-measure micro-costing approach was used to determine the number of units and unit cost for each resource. The incremental cost per one point improvement in HbA1c was calculated. Results The intervention equated to 71 United States dollars (USD) in implementation costs per participant and a 0.26 improvement in HbA1c per participant. Conclusions Lifestyle Africa reduced HbA1c for relatively little cost and holds promise for addressing chronic disease in LMIC. Decision-makers should consider the comparative clinical effectiveness and cost-effectiveness of this intervention when making resource allocation decisions. Trial Registration Trial registration is at ClinicalTrials.gov (NCT03342274).
نوع الوثيقة: article
وصف الملف: electronic resource
اللغة: English
تدمد: 1654-9880
16549716
Relation: https://doaj.org/toc/1654-9880
DOI: 10.1080/16549716.2023.2212952
URL الوصول: https://doaj.org/article/0be61e40c0d04558bac20ef55a66ce70
رقم الأكسشن: edsdoj.0be61e40c0d04558bac20ef55a66ce70
قاعدة البيانات: Directory of Open Access Journals
الوصف
تدمد:16549880
16549716
DOI:10.1080/16549716.2023.2212952