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首页> 美国卫生研究院文献>Bulletin of the World Health Organization >Cost of malaria control in China: Henans consolidation programme from community and government perspectives.
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Cost of malaria control in China: Henans consolidation programme from community and government perspectives.

机译：中国的疟疾控制成本：从社区和政府的角度看河南的整合计划。

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OBJECTIVE: To assist with strategic planning for the eradication of malaria in Henan Province, China, which reached the consolidation phase of malaria control in 1992, when only 318 malaria cases were reported. METHODS: We conducted a prospective two-year study of the costs for Henan's malaria control programme. We used a cost model that could also be applied to other malaria programmes in mainland China, and analysed the cost of the three components of Henan's malaria programme: suspected malaria case management, vector surveillance, and population blood surveys. Primary cost data were collected from the government, and data on suspected malaria patients were collected in two malaria counties (population 2 093 100). We enlisted the help of 260 village doctors in six townships or former communes (population 247 762), and studied all 12 325 reported cases of suspected malaria in their catchment areas in 1994 and 1995. FINDINGS: The average annual government investment in malaria control was estimated to be US$ 111 516 (case-management 59%; active blood surveys 25%; vector surveillance 12%; and contingencies and special projects 4%). The average cost (direct and indirect) for patients seeking treatment for suspected malaria was US$ 3.48, equivalent to 10 days' income for rural residents. Each suspected malaria case cost the government an average of US$ 0.78. CONCLUSION: Further cuts in government funding will increase future costs when epidemic malaria returns; investment in malaria control should therefore continue at least at current levels of US$ 0.03 per person at risk.
机译：目的：为协助中国河南省消灭疟疾的战略规划提供帮助，该省于1992年进入疟疾控制的巩固阶段，当时仅报告318例疟疾病例。方法：我们对河南省疟疾控制计划的成本进行了为期两年的前瞻性研究。我们使用了一种可以应用于中国大陆其他疟疾计划的成本模型，并分析了河南疟疾计划的三个组成部分的成本：疑似疟疾病例管理，媒介监测和人口血液调查。从政府收集了主要成本数据，并在两个疟疾县（人口2 093 100）收集了有关可疑疟疾患者的数据。我们争取了六个乡镇或前公社的260名乡村医生的帮助（人口247762），并于1994年和1995年研究了在其集水区报告的所有12325例疑似疟疾病例。调查结果：政府在疟疾控制方面的年均投资为估计费用为111 516美元（案件管理59％；活跃血液调查25％；病媒监视12％；突发事件和特殊项目4％）。为疑似疟疾寻求治疗的患者的平均费用（直接和间接）为3.48美元，相当于农村居民10天的收入。每宗疑似疟疾病例使政府平均损失0.78美元。结论：当流行性疟疾流行时，进一步削减政府资金将增加未来的成本。因此，对疟疾控制的投资至少应继续保持在目前每人每人0.03美元的水平上。

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