Neglected tropical diseases: comparison of the costs of integrated and vertical preventive chemotherapy treatment in Niger

Background This study presents evidence on the cost of integrated preventive chemotherapy treatment (PCT) to control trachoma, schistosomiasis, lymphatic filariasis and soil-transmitted helminthiasis (STH) in Niger. Integrated PCT costs are compared with the costs of vertical PCT control. Methods Da...

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Bibliographic Details
Published in:	International health Vol. 5; no. 1; pp. 78 - 84
Main Authors:	Leslie, Jacqueline, Garba, Amadou, Boubacar, Kadri, Yayé, Youssouf, Sebongou, Hannatou, Barkire, Arouna, Fleming, Fiona M., Mounkaila, Idrissa, Adamou, Salissou, Jackou, Maimouna Laurence B.
Format:	Journal Article
Language:	English
Published:	England Oxford University Press 01-03-2013
Subjects:	Delivery of Health Care - economics Delivery of Health Care - methods Elephantiasis, Filarial - drug therapy Elephantiasis, Filarial - economics Elephantiasis, Filarial - prevention & control Health Care Costs - statistics & numerical data Helminthiasis - drug therapy Helminthiasis - economics Helminthiasis - prevention & control Humans Neglected Diseases - drug therapy Neglected Diseases - economics Neglected Diseases - prevention & control Niger Preventive Medicine - economics Preventive Medicine - methods Schistosomiasis - drug therapy Schistosomiasis - economics Schistosomiasis - prevention & control Trachoma - drug therapy Trachoma - economics Trachoma - prevention & control Tropical Medicine - economics Tropical Medicine - methods Niger Neglected tropical diseases Chemoprophylaxis Integrated control programme Cost evaluation Cost effectiveness Niger
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Summary:	Background This study presents evidence on the cost of integrated preventive chemotherapy treatment (PCT) to control trachoma, schistosomiasis, lymphatic filariasis and soil-transmitted helminthiasis (STH) in Niger. Integrated PCT costs are compared with the costs of vertical PCT control. Methods Data were analysed for the integrated PCT of 2008 and 2009 in six districts. Receipts, treatment registers, coverage forms and drug registers provided cost and treatment information. Economic costs of the time spent on campaign activities by government staff was derived from a survey of 56 staff. Integrated control costs were compared with vertical programmes undertaken in 2005 using 2009 constant prices. Results The average economic cost of integrated PCT was US$0.19/treatment excluding drugs (US$0.38 for a district with two drug treatments). The average financial cost was US$0.09/treatment (US$0.18 for a district with two drug treatments).The average financial cost of vertical treatment was US$0.167 for trachoma, US$0.10 for schistosomiasis and STH and US$0.075 for lymphatic filariasis. The integrated programme had savings of 16% and 21% in programme costs in 2008 and 2009, respectively, compared with the vertical programmes. Conclusion Further work is needed to forecast the effectiveness of alternative long-term integrated treatment strategies for control and/or elimination of neglected tropical diseases.
Bibliography:	ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23
ISSN:	1876-3413 1876-3405
DOI:	10.1093/inthealth/ihs010