Comparison of cost effectiveness of directly observed treatment (DOT) and conventionally delivered treatment for tuberculosis : experience from rural South Africa.
To conduct an economic evaluation of directly observed treatment (DOT) and conventionally delivered treatment for the management of new cases of tuberculosis in adults.
Community based directly observed treatment, which has been implemented in the Hlabisa district of South Africa since 1991, was compared with a conventional approach to tuberculosis treatment widely used in Africa Each was assessed in terms of cost, cost effectiveness, and feasibility of implementation within existing resource constraints.
Hlabisa Health District, South Africa.
Adult patients with new cases of tuberculosis on smear testing ; the number of cases increased from 20 per month to over 100 from 1991 to 1996.
Main outcome measures
Cost of case management in 1996, cost effectiveness in terms of the cost per case cured, and bed requirements in comparison with bed availability for the 1990,1993, and 1996 caseload.
Costs are expressed in US dollars at values for 1996.
Directly observed treatment was 2.8 times cheaper overall than conventional treatment ($740.90 compared with $2047.70) to deliver.
Directly observed treatment worked out 2.4-4.2 times more cost effective, costing $890.50 per patient cured compared with either $2095.60 (best case) or $3700. (...)
Mots-clés Pascal : Tuberculose, Mycobactériose, Bactériose, Infection, Mycobacterium tuberculosis, Mycobacteriaceae, Mycobacteriales, Actinomycetes, Bactérie, Analyse coût efficacité, Traitement, Economie santé, Chimiothérapie, Antituberculeux, Zone rurale, Homme, République Sud Africaine, Afrique
Mots-clés Pascal anglais : Tuberculosis, Mycobacterial infection, Bacteriosis, Infection, Mycobacterium tuberculosis, Mycobacteriaceae, Mycobacteriales, Actinomycetes, Bacteria, Cost efficiency analysis, Treatment, Health economy, Chemotherapy, Antituberculous agent, Rural area, Human, South Africa, Africa
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 98-0032648
Code Inist : 002B02S02. Création : 17/04/1998.