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越南一项针对超过270万儿童的学校驱虫计划中的成本控制。

Cost containment in a school deworming programme targeting over 2.7 million children in Vietnam.

作者信息

Montresor Antonio, Cong Dai Tran, Le Anh Tuan, Ehrhardt Alexander, Mondadori Elisa, Thi Thach Dang, Le Khanh Thuan, Albonico Marco, Palmer Kevin L

机构信息

World Health Organization, 63 Tran Hung Dao, Hanoi, Vietnam.

出版信息

Trans R Soc Trop Med Hyg. 2007 May;101(5):461-4. doi: 10.1016/j.trstmh.2006.07.008. Epub 2006 Oct 18.

Abstract

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.

摘要

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。

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