دورية أكاديمية
Finding a needle in the haystack: the costs and cost-effectiveness of syphilis diagnosis and treatment during pregnancy to prevent congenital syphilis in Kalomo District of Zambia.
العنوان: | Finding a needle in the haystack: the costs and cost-effectiveness of syphilis diagnosis and treatment during pregnancy to prevent congenital syphilis in Kalomo District of Zambia. |
---|---|
المؤلفون: | Bruce A Larson, Deophine Lembela-Bwalya, Rachael Bonawitz, Emily E Hammond, Donald M Thea, Julie Herlihy |
المصدر: | PLoS ONE, Vol 9, Iss 12, p e113868 (2014) |
بيانات النشر: | Public Library of Science (PLoS), 2014. |
سنة النشر: | 2014 |
المجموعة: | LCC:Medicine LCC:Science |
مصطلحات موضوعية: | Medicine, Science |
الوصف: | In March 2012, The Elizabeth Glaser Pediatric AIDS Foundation trained maternal and child health workers in Southern Province of Zambia to use a new rapid syphilis test (RST) during routine antenatal care. A recent study by Bonawitz et al. (2014) evaluated the impact of this roll out in Kalomo District. This paper estimates the costs and cost-effectiveness from the provider's perspective under the actual conditions observed during the first year of the RST roll out.Information on materials used and costs were extracted from program records. A decision-analytic model was used to evaluate the costs (2012 USD) and cost-effectiveness. Basic parameters needed for the model were based on the results from the evaluation study.During the evaluation study, 62% of patients received a RST, and 2.8% of patients tested were positive (and 10.4% of these were treated). Even with very high RST sensitivity and specificity (98%), true prevalence of active syphilis would be substantially less (estimated at |
نوع الوثيقة: | article |
وصف الملف: | electronic resource |
اللغة: | English |
تدمد: | 1932-6203 61240494 |
Relation: | http://europepmc.org/articles/PMC4257564?pdf=render; https://doaj.org/toc/1932-6203 |
DOI: | 10.1371/journal.pone.0113868 |
URL الوصول: | https://doaj.org/article/ce38e61240494cfba6fd6599c5473d15 |
رقم الأكسشن: | edsdoj.38e61240494cfba6fd6599c5473d15 |
قاعدة البيانات: | Directory of Open Access Journals |
تدمد: | 19326203 61240494 |
---|---|
DOI: | 10.1371/journal.pone.0113868 |