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东非共同体中与被忽视热带病相关的伤残调整生命年的货币价值及潜在生产力损失

Monetary Value of Disability-Adjusted Life Years and Potential Productivity Losses Associated With Neglected Tropical Diseases in the East African Community.

作者信息

Kirigia Joses Muthuri, Kubai Patrick Kinyua

机构信息

African Sustainable Development Research Consortium (ASDRC), Nairobi, Kenya.

Meru University of Science and Technology (MUST), Meru, Kenya.

出版信息

Res Rep Trop Med. 2023 Jun 29;14:35-47. doi: 10.2147/RRTM.S382288. eCollection 2023.

Abstract

INTRODUCTION

In 2019, the East African Community (EAC) lost 12,048,918 disability-adjusted life-years (DALY) across all ages from neglected tropical diseases (NTDs). The specific objectives of the study reported in the paper were to estimate for EAC the monetary value of DALYs sustained by all ages from NTDs, and the potential productivity losses within the working age bracket of 15 years and above.

METHODS

The EAC total monetary value of DALYs lost from all 20 NTDs is the sum of each partner state's monetary value of DALYs lost from all 20 NTDs. The ith partner state's monetary value of DALY from jth disease equals ith state's GDP per capita net of current health expenditure multiplied by DALYs lost from jth disease in 2019. The EAC total productivity losses attributable to DALYs lost from all 20 NTDs is the sum of lost productivity across the seven partner states. The ith partner state's productivity loss associated with jth disease equals ith state's GDP per capita net of current health expenditure multiplied by DALYs lost from jth disease and the ith state's labour force participation rate adjusted for underutilization (unemployment and time-related underemployment) in 2019.

RESULTS

The total 12,048,918 DALYs lost in EAC from NTDs had a of International Dollars (Int$) 21,824,211,076 and an average of Int$ 1811 per DALY. The 2,614,464 DALYs lost from NTD among 15-year-olds and above caused an estimated of Int$ 2,588,601,097 (0.392% of the EAC gross domestic product in 2019), and an average of Int$ 990.1 per DALY.

CONCLUSION

The study succeeded in estimating the monetary value of DALYs sustained by all ages from 20 NTDs, and the potential productivity losses within the working age bracket of 15 years and above in the seven EAC partner states. The DALYs lost from NTD among 15-year-olds and above caused a sizeable loss in the economic productivity of EAC.

摘要

引言

2019年,东非共同体(EAC)因被忽视的热带病(NTDs)在所有年龄段损失了12,048,918个伤残调整生命年(DALYs)。该论文中报告的研究的具体目标是估算东非共同体所有年龄段因被忽视的热带病所遭受的伤残调整生命年的货币价值,以及15岁及以上工作年龄段内潜在的生产力损失。

方法

东非共同体因20种被忽视的热带病损失的伤残调整生命年的总货币价值是每个伙伴国因这20种被忽视的热带病损失的伤残调整生命年的货币价值之和。第i个伙伴国因第j种疾病导致的伤残调整生命年的货币价值等于该国扣除当前卫生支出后的人均国内生产总值乘以2019年因第j种疾病损失的伤残调整生命年数。东非共同体因20种被忽视的热带病损失的伤残调整生命年所导致的总生产力损失是七个伙伴国生产力损失的总和。第i个伙伴国与第j种疾病相关的生产力损失等于该国扣除当前卫生支出后的人均国内生产总值乘以2019年因第j种疾病损失的伤残调整生命年数,再乘以该国劳动力参与率(已根据未充分利用情况进行调整,包括失业和与时间相关的就业不足)。

结果

东非共同体因被忽视的热带病总共损失的12,048,918个伤残调整生命年的价值为21,824,211,076国际美元(Int$),平均每个伤残调整生命年为1811国际美元。15岁及以上人群因被忽视的热带病损失的2,614,464个伤残调整生命年估计造成了2,588,601,097国际美元的损失(占2019年东非共同体国内生产总值的0.392%),平均每个伤残调整生命年为990.1国际美元。

结论

该研究成功估算了东非共同体七个伙伴国所有年龄段因20种被忽视的热带病所遭受的伤残调整生命年的货币价值,以及15岁及以上工作年龄段内潜在的生产力损失。15岁及以上人群因被忽视的热带病损失的伤残调整生命年给东非共同体的经济生产力造成了相当大的损失。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9314/10317842/53e7cc21951b/RRTM-14-35-g0001.jpg

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