Schistosomiais and Soil-Transmitted Helminth Control in Niger Cost Effectiveness of School Based and Community Distributed Mass Drug Administration 英文参考文献.docVIP

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Schistosomiais and Soil-Transmitted Helminth Control in Niger Cost Effectiveness of School Based and Community Distributed Mass Drug Administration 英文参考文献.doc

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Schistosomiais and Soil-Transmitted Helminth Control in Niger Cost Effectiveness of School Based and Community Distributed Mass Drug Administration 英文参考文献

SchistosomiaisandSoil-TransmittedHelminthControlin Niger:CostEffectivenessofSchoolBasedand CommunityDistributedMassDrugAdministration JacquelineLeslie1*,AmadouGarba2,3,4,ElisaBosqueOliva1,ArounaBarkire3,AmadouAboubacar Tinni3,AliDjibo3,IdrissaMounkaila3,AlanFenwick1 1Schistosomiasis Control Initiative, Department of Infectious Disease Epidemiology, Imperial College London, London, United Kingdom, 2Re′seau International Schistosomoses Environnement Ame′nagements et Lutte (RISEAL-Niger), Niamey, Niger, 3Department of Epidemiology and Public Health, Swiss Tropical and Public HealthInstitute,Basel,Switzerland,4UniversityofBasel,Basel,Switzerland,5Ministe`re delaSante′ Publique,Niamey,Niger Abstract Background: In 2004 Niger established a large scale schistosomiasis and soil-transmitted helminths control programme targetingchildrenaged5–14yearsandadults.Intwoyears4.3milliontreatmentsweredeliveredin40districtsusingschool basedandcommunitydistribution. MethodandFindings:Four districts were surveyed in 2006 to estimate the economic cost per district, per treatment andperschistosomiasis infection averted. Thestudy compares thecosts oftreatment atstart upandinasubsequent year, identifies theallocation ofcosts byactivity, input andorganisation, andassesses thecost oftreatment. Thecost ofdelivery provided byteachers iscompared tocostofdelivery bycommunity distributers (CDD). Thetotal economic costoftheprogramme including programmatic, national andlocalgovernment costsandinternational support infour study districts, overtwoyears, wasUS$456,718; aneconomic cost/treatment of$0.58. Thefull economic delivery cost of school based treatment in 2005/06 was $0.76, and for community distribution was $0.46. Including only the programme costs the figures are $0.47 and $0.41 respectively. Differences at sub-district are more marked. This is partly explained by the fact that a CDD treats 5.8 people for every one treated in school. The range in cost effectiveness forboth dire