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Field activity cost estimates for the first 3 years of the World Bank Loan Project for schistosomiasis control in China.
Southeast Asian J Trop Med Public Health ; 1998 Dec; 29(4): 706-13
Artículo en Inglés | IMSEAR | ID: sea-30999
ABSTRACT
The World Bank Loan Project for schistosomiasis in China commenced field activities in 1992. In this paper, we describe disease control strategies for levels of different endemicity, and estimate unit costs and total expenditure of screening, treatment (cattle and humans) and snail control for 8 provinces where Schistosoma japonicum infection is endemic. Overall, we estimate that more than 21 million US dollars were spent on field activities during the first three years of the project. Mollusciciding (43% of the total expenditure) and screening (28% of the total) are estimated to have the most expensive field activities. However, despite the expense of screening, a simple model predicts that selective chemotherapy could have been cheaper than mass chemotherapy in areas where infection prevalence was higher than 15%, which was the threshold for mass chemotherapy intervention. It is concluded that considerable cost savings could be made in the future by narrowing the scope of snail control activities, redefining the threshold infection prevalence for mass chemotherapy, defining smaller administrative units, and developing rapid assessment tools.
Asunto(s)
Texto completo: Disponible Índice: IMSEAR (Asia Sudoriental) Asunto principal: Servicios Preventivos de Salud / Esquistosomiasis / Caracoles / Naciones Unidas / Humanos / Reservorios de Enfermedades / Bovinos / Enfermedades de los Bovinos / China / Control de Plagas Tipo de estudio: Evaluación Económica en Salud / Estudio pronóstico / Estudio de tamizaje País/Región como asunto: Asia Idioma: Inglés Revista: Southeast Asian J Trop Med Public Health Año: 1998 Tipo del documento: Artículo

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Texto completo: Disponible Índice: IMSEAR (Asia Sudoriental) Asunto principal: Servicios Preventivos de Salud / Esquistosomiasis / Caracoles / Naciones Unidas / Humanos / Reservorios de Enfermedades / Bovinos / Enfermedades de los Bovinos / China / Control de Plagas Tipo de estudio: Evaluación Económica en Salud / Estudio pronóstico / Estudio de tamizaje País/Región como asunto: Asia Idioma: Inglés Revista: Southeast Asian J Trop Med Public Health Año: 1998 Tipo del documento: Artículo