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.

التفاصيل البيبلوغرافية
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
الوصف
تدمد:19326203
61240494
DOI:10.1371/journal.pone.0113868