Cost-effectiveness of a canine visceral leishmaniasis control program in Brazil based on insecticide-impregnated collars
Rev. Soc. Bras. Med. Trop
; 53: e20200680, 2020. tab, graf
Article
in English
| Sec. Est. Saúde SP, Coleciona SUS, LILACS
| ID: biblio-1143869
Responsible library:
BR1.1
ABSTRACT
Abstract INTRODUCTION:
The use of insecticide-impregnated dog collars is a potentially useful tool for the control of visceral leishmaniasis. The objective of the present study was to perform a cost-effectiveness analysis of a program based on insecticide-impregnated collars compared to traditional visceral leishmaniasis control strategies used in Brazil.METHODS:
A cost-effectiveness analysis was performed from the perspective of the Unified Health System, using data from the Visceral Leishmaniasis Control Program implemented in the municipality of Montes Claros, Minas Gerais. The direct costs of the three control strategies, which were 1) canine infection screening + sacrifice, 2) residual chemical control of the vector, and 3) insecticide-impregnated dog collars (Scalibor®), were evaluated over the two-year study period.RESULTS:
The total cost of the program in the area subjected to the traditional control strategies (strategies 1 and 2; control area) was R$ 1,551,699.80, and in the area subjected to all three control strategies (intervention area), it was R$ 1,898,190.16. The collar program was considered highly cost-effective at preventing canine visceral leishmaniasis (incremental cost-effectiveness ratio of approximately R$ 578 per avoided dog sacrifice).CONCLUSIONS:
These results provide support for the decision by the Brazilian Ministry of Health in 2019 to provide insecticide-impregnated collars for the control of canine visceral leishmaniasis in a pilot project.
Full text:
Available
Collection:
National databases
/
Brazil
Health context:
Sustainable Health Agenda for the Americas
/
SDG3 - Health and Well-Being
Health problem:
Goal 10: Communicable diseases
/
Goal 4: Health financing
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Target 3.3: End transmission of communicable diseases
Database:
LILACS
/
Sec. Est. Saúde SP
/
Coleciona SUS
Main subject:
Pyrethrins
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Dog Diseases
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Insecticides
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Leishmaniasis, Visceral
Type of study:
Evaluation study
/
Health economic evaluation
Limits:
Animals
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Humans
Country/Region as subject:
South America
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Brazil
Language:
English
Journal:
Rev. Soc. Bras. Med. Trop
Year:
2020
Document type:
Article
Institution/Affiliation country:
Centro Federal de Educação Tecnológica de Minas Gerais/BR
/
Fundação Oswaldo Cruz,/BR
/
Instituto para Avaliação de Tecnologias em Saúde/BR
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Universidade Estadual de Montes Claros/BR
/
Universidade do Estado do Rio de Janeiro/BR