VARIATION IN COSTS AND COST-EFFECTIVENESS OF HELMINTH CONTROL 27
Table 1 Comparative economic costs (2005 US$ prices) of anthelmintic treatment by major cost centre and percentage of overall costs by district in
Uganda 2003-05 2003 2004 2005 Average % 2003–5 Costs % Costs % Costs % Busia Programme running costs 526 4.0 526 4.3 526 5.3 4.5
Community sensitization 2349 17.8 1984 16.1 621 6.2 13.4 Training 2459 18.6 1897 15.4 688 6.9 13.6 Drug distribution and treatment 2531 19.1 2761 22.5 2594 26.0 22.5 Imported drugs 4701 35.5 4722 38.4 4815 48.3 40.7
IEC material 658 5.0 404 3.3 721 7.2 5.2 Total 13 224 12 294 9963 Mayuge Programme running costs 526 7.7 526 3.3 526 5.4 5.5 Community sensitization 2189 32.1 1269 8.1 455 4.6 14.9 Training 874 12.8 1553 9.9 3986 40.7 21.1 Drug distribution and treatment 1073 15.7 2910 18.5 2337 23.9 19.4 Imported drugs 1722 25.3 7602 48.3 2393 24.5 32.7 IEC material 435 6.4 1872 11.9 91 0.9 6.4 Total 6819 15 732 9789 Hoima Programme running costs 526 3.6 526 3.8 526 3.2 3.5 Community sensitization 2154 14.8 586 4.2 425 2.6 7.2 Training 2246 15.5 2796 20.1 4497 27.2 20.9
Drug distribution and treatment 2893 19.9 1906 13.7 3257 19.7 17.8
Imported drugs 6210 42.8 6612 47.6 6137 37.1 42.5 IEC material 479 3.3 1476 10.6 1706 10.3 8.1 Total 14 508 13 902 16 548 Masindi Programme running costs 526 8.1 526 6.4 526 4.8 6.4 Community sensitization 2340 36.0 1314 16.1 1117 10.2 20.8 Training 585 9.0 678 8.3 3100 28.3 15.2
Drug distribution and treatment 1249 19.2 1347 16.5 1892 17.3 17.7
Imported drugs 1533 23.6 2608 31.9 3072 28.0 27.8 IEC material 267 4.1 1694 20.7 1248 11.4 12.1 Total 6500 8167 10 955
网络通信英文文献及译文-rtp实时软件传输协议Moyo Programme running costs 526 3.5 526 4.8 526 3.4 3.9 Community sensitization 1944 12.8 723 6.6 615 4.0 7.8 Training 2235 14.7 1445 13.1 2031 13.0 13.6 Drug distribution and treatment 2218 14.6 1443 13.1 5283 34.0 20.6 Imported drugs 7928 52.1 4627 42.0 6837 43.9 46.0 IEC material 352 2.3 2246 20.4 269 1.7 8.1 Total 15 203 11 010 15 561 Nebbi Programme running costs 526 6.8 526 3.2 526 3.0 4.3 Community sensitization 1771 23.1 750 4.6 802 4.5 10.7 Training 995 13.0 1015 6.2 4323 24.5 14.6 Drug distribution and treatment 1338 17.4 6291 38.7 4715 26.7 27.6 Imported drugs 2609 34.0 6873 42.3 6682 37.8 38.0本文来自优.文~论^文·网原文请找腾讯3249,114
IEC material 438 5.7 781 4.8 616 3.5 4.7 Total 7677 16 236 17 664
28 HEALTH POLICY AND PLANNING treatment (Spearman’s rho: –0.828, P¼0.04), suggesting that there are increasing returns to scale in cost-effectiveness with respect to the target population.
Sensitivity analysis The sensitivity of cost-effectiveness (cost per anaemia case averted) to variation in key parameters was explored (Table 4).
Varying the discount rate made little difference to the estimate
of cost-effectiveness. Reducing the prices of drugs by 10% and
20% reduced the cost per anaemia case averted to US$3.07 and
US$2.94, respectively. Discussion The cost of school-based control of helminth infection has been widely documented in a number of pilot programmes (Guyatt et al. 1993, 1994; Holland et al. 1996; Partnership for Child Development 1998, 1999; Mascie-Taylor et al. 1999; Guyatt
2003). Few studies, however, have looked at costs of schoolbased
control under nationwide programmatic conditions (Sinuon et al. 2005; Gabrielli et al.
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