[Cost-effectiveness of public health practices: a literature review of public health interventions from the Mesoamerican Health Initiative]. / Costo-efectividad de prácticas en salud pública: revisión bibliográfica de las intervenciones de la Iniciativa Mesoamericana de Salud.
Salud Publica Mex
; 53 Suppl 3: S375-85, 2011.
Article
em Es
| MEDLINE
| ID: mdl-22344382
OBJECTIVE: Present and analyze cost-effectiveness information of public health interventions proposed by the Mesoamerican Health Initiative in child nutrition, vaccination, malaria, dengue, and maternal, neonatal, and reproductive health. MATERIAL AND METHODS: A systematic literature review was conducted on cost-effectiveness studies published between January 2000 and August 2009 on interventions related to the health areas previously mentioned. Studies were included if they measured effectiveness in terms of Disability-Adjusted Life Year (DALY) or death averted. RESULTS: Child nutrition and maternal and neonatal health interventions were found to be highly cost-effective (most of them below US$200 per DALY averted for nutritional interventions and US$100 for maternal and neonatal health). For dengue, information on cost-effectiveness was found just for application of larvicides, which resulted in a cost per DALY averted ranking from US$40.79 to US$345.06. Malarial interventions were found to be cost-effective (below US$150 per DALY averted or US$4,000 per death averted within Africa). In the case of pneumococcus and rotavirus vaccination, cost-effectiveness estimates were always above one GDP per capita per DALY averted. CONCLUSIONS: In Mesoamerica there are still important challenges in child nutrition, vaccination, malaria, dengue and maternal, neonatal, and reproductive health, challenges that could be addressed by scaling-up technically feasible and cost-effective interventions.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Bibliometria
/
Saúde Pública
/
Análise Custo-Benefício
/
Promoção da Saúde
Tipo de estudo:
Health_economic_evaluation
/
Systematic_reviews
Aspecto:
Determinantes_sociais_saude
/
Patient_preference
País/Região como assunto:
America central
/
Mexico
Idioma:
Es
Revista:
Salud Publica Mex
Ano de publicação:
2011
Tipo de documento:
Article
País de publicação:
México