加纳水、环境卫生与个人卫生促进干预措施的成本与效益:以布朗阿哈福地区四个社区为例
Cost and effectiveness of water, sanitation and hygiene promotion intervention in Ghana: the case of four communities in the Brong Ahafo region.
作者信息
Woode Paa Kwesi, Dwumfour-Asare Bismark, Nyarko Kwabena Biritwum, Appiah-Effah Eugene
机构信息
Civil Engineering Department, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana.
Environmental Health & Sanitation Department, Faculty of Science & Environment Education, University of Education, Winneba, Asante-Mampong Campus, Ghana.
出版信息
Heliyon. 2018 Oct 4;4(10):e00841. doi: 10.1016/j.heliyon.2018.e00841. eCollection 2018 Oct.
Knowledge of cost and effectiveness of Ghana's main hygiene promotion intervention (HPI), Community-Led Total Sanitation (CLTS), is critical for policy direction. Cost and resultant effect of HPI is examined using a case study of four communities. Surveys were conducted with 300 households, CLTS implementers and relevant agencies during the study period (May 2012 to February 2014). The HPI produced marginal but statistically significant effect (8%, p < 0.001). Improvement in hygiene behaviour was statistically associated with both government investments (p < 0.001) and household investments (p < 0.001). Actual HPI cost is US$ 90 per household: US$ 51 and 39 from government and households respectively. Cost-effectiveness of the HPI is US$ 106.42 per capita of improved hygiene behaviour.
了解加纳主要卫生促进干预措施(HPI)——社区主导的全面卫生(CLTS)的成本和效果,对政策导向至关重要。通过对四个社区的案例研究,考察了卫生促进干预措施的成本及产生的效果。在研究期间(2012年5月至2014年2月),对300户家庭、CLTS实施者及相关机构进行了调查。该卫生促进干预措施产生了微小但具有统计学意义的效果(8%,p<0.001)。卫生行为的改善在统计学上与政府投资(p<0.001)和家庭投资(p<0.001)均相关。实际的卫生促进干预措施成本为每户90美元:其中政府投资51美元,家庭投资39美元。卫生促进干预措施的成本效益为改善卫生行为的人均106.42美元。
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