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Economic advantage of a community-based malaria management program in the Brazilian Amazon.
Pang, L W; Piovesan-Alves, F.
Afiliação
  • Pang LW; Department of Enteric Diseases, Armed Forces Research Institute of Medical Sciences, Bangkok, Thailand. lwpang@mail.health.state.hi.us
Am J Trop Med Hyg ; 65(6): 883-6, 2001 Dec.
Article em En | MEDLINE | ID: mdl-11791992
In the Brazilian Amazon, travel costs to centralized malaria clinics for diagnosis and treatment can approach 20% of one's monthly salary. A program was established in a mining town for community-based dipstick test diagnosis and treatment. An economic analysis was performed that compared expected costs under the old program to the observed costs of the new one. Data were obtained through interviews, government reports, clinic and hospital records, and community records. There was a 53% reduction (by 1,219 visits) of clinic visits but a doubling of malaria hospitalization admissions (to 191). The new program had an overall annual savings of $60,900 ($11.8K-$160K, sensitivity limits), a 77% reduction of the old program's cost. The benefit-to-cost ratio was 9:1, where benefits were patients' savings from travel and lost wages and costs were government drug, diagnostic, training, and monitoring expenses. A community-based program incorporating dipstick tests for malaria management can have economic advantages.
Assuntos
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Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Plasmodium / Serviços de Saúde Comunitária / Testes Diagnósticos de Rotina / Malária / Antígenos de Protozoários Tipo de estudo: Diagnostic_studies / Evaluation_studies / Health_economic_evaluation / Observational_studies / Risk_factors_studies Limite: Animals / Humans País/Região como assunto: America do sul / Brasil Idioma: En Revista: Am J Trop Med Hyg Ano de publicação: 2001 Tipo de documento: Article País de afiliação: Tailândia País de publicação: Estados Unidos
Buscar no Google
Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Plasmodium / Serviços de Saúde Comunitária / Testes Diagnósticos de Rotina / Malária / Antígenos de Protozoários Tipo de estudo: Diagnostic_studies / Evaluation_studies / Health_economic_evaluation / Observational_studies / Risk_factors_studies Limite: Animals / Humans País/Região como assunto: America do sul / Brasil Idioma: En Revista: Am J Trop Med Hyg Ano de publicação: 2001 Tipo de documento: Article País de afiliação: Tailândia País de publicação: Estados Unidos