5501 - Social Economic and Behavioural(SEB Research Report...

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TDR Final Report Series No. 37 (2001) Social, Economic and Behavioural (SEB) Research Report Series No. 1 (2002)
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TDR Project ID 950109 & 930413 TDR Project ID 950109 & 930413 ( ( 1994-1998) 1994-1998) Professor Xi-Li Liu Principal Investigator Australian Collaborators: Dr Sukhan Jackson (Health Economics), Dr Adrian Sleigh (Epidemiology and Trop Med) Cost-performance analysis of malaria Cost-performance analysis of malaria control in Henan Province, China control in Henan Province, China
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Malaria in Henan Malaria in Henan worst province in 1970 (10.2 million cases) 1971-1984: 280 million treatments, 1.8 billion anti- relapse courses, 2 billion prophylaxis courses 1981-1992: active case detection, DDT spraying and (later) impregnated bednets 1993: ‘basic elimination’ (<1 case/10,000 pop/yr), v ivax persists in 4 poor counties in the south
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Objectives Objectives 1) Measure costs for each malaria control component in Henan who incurred what costs? 2) Evaluate case-management performance what was purchased? 3) Assess balance and quality of investment in the control program what can improve?
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Malaria study Malaria study counties counties (shaded areas) (shaded areas) Source: Sleigh et al . 1998 Bull WHO
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Methods Methods cost all government inputs (fixed and variable) cost all community inputs (direct and indirect) evaluate and cost sample of case-management least studied aspect in economic appraisals of malaria ( epidemiologically important for control outcomes) 1,2 1 Mills A. The economics of malaria
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5501 - Social Economic and Behavioural(SEB Research Report...

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