Wiseman Virginia, Hawley William A, ter Kuile Feiko O, Phillips-Howard Penelope A, Vulule John M, Nahlen Bernard L, Mills Anne J
Health Economics and Financing Programme & Gates Malaria Partnership, London School of Hygiene and Tropical Medicine, London, United Kingdom.
Am J Trop Med Hyg. 2003 Apr;68(4 Suppl):161-7.
This study compared the costs and effects of insecticide (permethrin)-treated bed net (ITN) use in children less than five years of age in an area of intense, perennial malaria transmission in western Kenya. The data were derived from a group-randomized controlled trial of ITNs conducted between 1996 and 1999. The annual net cost per life-year gained was 34 U.S. dollars and the net annual cost per all-cause sick child clinic visit averted was 49 U.S. dollars. After taking into account a community effect (protection from malaria afforded to non-ITN users who lived within 300 meters from users) these estimates decreased to 25 U.S. dollars and 38 U.S. dollars, respectively. This study provides further evidence that ITNs are a highly cost-effective use of scarce health care resources.
本研究比较了在肯尼亚西部疟疾常年高强度传播地区，使用杀虫剂（氯菊酯）处理过的蚊帐（ITN）对5岁以下儿童的成本和效果。数据来源于1996年至1999年进行的一项关于ITN的群组随机对照试验。每获得一个生命年的年度净成本为34美元，每避免一次因各种原因导致的患病儿童门诊就诊的年度净成本为49美元。考虑到社区效应（对居住在距使用者300米范围内的非ITN使用者提供的疟疾防护）后，这些估计值分别降至25美元和38美元。本研究进一步证明，ITN是对稀缺医疗资源的一种高成本效益的利用方式。
