Montresor Antonio, Cong Dai Tran, Le Anh Tuan, Ehrhardt Alexander, Mondadori Elisa, Thi Thach Dang, Le Khanh Thuan, Albonico Marco, Palmer Kevin L
World Health Organization, 63 Tran Hung Dao, Hanoi, Vietnam.
Trans R Soc Trop Med Hyg. 2007 May;101(5):461-4. doi: 10.1016/j.trstmh.2006.07.008. Epub 2006 Oct 18.
Vietnam is one of the countries in the world most affected by soil-transmitted helminthiases. Large areas of the country, such as the Northern Uplands and the North and Central Coast, are reported as having infection rates of 75-85% for Ascaris lumbricoides, 38-40% for Trichuris trichiura and 27-28% for hookworm infections. Periodical deworming of schoolchildren is therefore strongly recommended. Managers of the Helminth Control Programme decided to apply a number of measures to improve cost efficiency in order to deworm as many schoolchildren as possible with the limited financial resources available. This low-cost intervention targeted over 2.7 million schoolchildren. Coverage was estimated at over 95% and the cost for each treated child was US$ 0.03, which represents a saving of approximately 50% of costs presently reported in the literature. This article describes the measures applied that resulted in cost containment but maintained high treatment coverage.
越南是世界上受土壤传播蠕虫病影响最严重的国家之一。据报告,该国大片地区,如北部高地以及北部和中部海岸,蛔虫感染率为75%-85%,鞭虫感染率为38%-40%,钩虫感染率为27%-28%。因此,强烈建议对学童定期进行驱虫。蠕虫控制项目的管理人员决定采取一系列措施来提高成本效益,以便在有限的财政资源下为尽可能多的学童进行驱虫。这项低成本干预措施针对了超过270万名学童。覆盖率估计超过95%,每个接受治疗的儿童的成本为0.03美元,这意味着成本比目前文献报道的节省了约50%。本文介绍了所采取的实现成本控制但保持高治疗覆盖率的措施。