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Micro-costing from healthcare professional's perspective and acceptability of cutaneous leishmaniasis diagnostic tools in Morocco: A mixed-methods study.

作者信息

Bennis Issam, Sadiki Mohamed, Ezzahidi Abdelkacem, Laaroussi Naoual, Bouhout Souad

机构信息

International School of Public Health, Mohammed VI University of Health and Sciences (UM6SS), Casablanca, Morocco.

Delegation of Ministry of Health, Tinghir Province, Morocco.

出版信息

PLOS Glob Public Health. 2024 Mar 28;4(3):e0002534. doi: 10.1371/journal.pgph.0002534. eCollection 2024.


DOI:10.1371/journal.pgph.0002534
PMID:38547152
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10977798/
Abstract

In Morocco, cutaneous leishmaniasis (CL) represents a concern with three causative parasite species. Despite this, rapid diagnostic test (RDT) for CL is not part of the national control strategy. This study evaluates the acceptability and micro-costing of the CL Detect Rapid Test by Inbios International. The study was conducted from June 2019 to January 2020 and included 46 healthcare professionals from 40 primary healthcare centers and district labs. Data was collected by self-administered questionnaires and interviews and analysed using NVivo, Jamovi, and Python to generate a predictive model and sensitivity analysis by calculating the average Cost-Benefit Ratio for compared CL diagnostic scenarios. The exchange rate is 1 USD = 9.6 MAD (Moroccan Dirham) in November 2019. The CL-RDT received notable acceptance for its user-friendliness and time efficiency compared to traditional microscopy. Micro-costing data revealed that the average unit cost for microscopy is 15 MAD [7-31], whereas 75 MAD [52-131] for CL-RDT. Altogether, the diagnostic cost for microscopy is 115 MAD±4, marginally higher than the 102 MAD±2 for CL-RDT (p = 0,05). Sensitivity analysis identified the most cost-benefit scenarios based on a Cost-Benefit Ratio (CBR). The optimal approach involves using CL-RDT once at a primary healthcare centre (PHC) (CBR = 1.4), especially if the unitary cost is below 79 MAD. The second-best option is using CL-RDT once at a laboratory (CBR = 1.0), which is advantageous if priced under 54 MAD. However, using CL-RDT twice for the same lesion had a less favourable CBR of 0.6 and was only beneficial if priced below 09 MAD. The reference scenario was a single CL-RDT at the PHC followed by microscopy at a laboratory. In conclusion, the forthcoming CL-RDT, expected to feature enhanced sensitivity, is advocated for deployment in resource-limited endemic areas.

摘要
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a7f4/10977798/427d5004809c/pgph.0002534.g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a7f4/10977798/360b2a830095/pgph.0002534.g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a7f4/10977798/275e29ba39b3/pgph.0002534.g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a7f4/10977798/ddb833f904e3/pgph.0002534.g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a7f4/10977798/427d5004809c/pgph.0002534.g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a7f4/10977798/360b2a830095/pgph.0002534.g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a7f4/10977798/275e29ba39b3/pgph.0002534.g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a7f4/10977798/ddb833f904e3/pgph.0002534.g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a7f4/10977798/427d5004809c/pgph.0002534.g004.jpg

相似文献

[1]
Micro-costing from healthcare professional's perspective and acceptability of cutaneous leishmaniasis diagnostic tools in Morocco: A mixed-methods study.

PLOS Glob Public Health. 2024-3-28

[2]
Accuracy of a Rapid Diagnostic Test Based on Antigen Detection for the Diagnosis of Cutaneous Leishmaniasis in Patients with Suggestive Skin Lesions in Morocco.

Am J Trop Med Hyg. 2018-7-5

[3]
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[4]
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[5]
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[8]
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[9]
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[10]
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本文引用的文献

[1]
The psychosocial burden of cutaneous leishmaniasis in rural Sri Lanka: A multi-method qualitative study.

PLoS Negl Trop Dis. 2024-1

[2]
Diagnostic performance of CL Detect rapid-immunochromatographic test for cutaneous leishmaniasis: a systematic review and meta-analysis.

Syst Rev. 2023-12-20

[3]
Delayed diagnosis among patients with cutaneous and mucocutaneous leishmaniasis.

Travel Med Infect Dis. 2023

[4]
Molecular Diagnosis of Leishmaniasis in Spain: Development and Validation of Ready-To-Use Gel-Form Nested and Real-Time PCRs To Detect spp.

Microbiol Spectr. 2023-6-15

[5]
Evaluation of a diagnostic device, CL Detect rapid test for the diagnosis of new world cutaneous leishmaniasis in Peru.

PLoS Negl Trop Dis. 2023-3

[6]
Diagnosis of Human Cutaneous Leishmaniasis: A Comparative Study Using CL Detect Dipstick, Direct Smear and Polymerase Chain Reaction Methods.

Acta Parasitol. 2023-6

[7]
Laboratory diagnostics for human Leishmania infections: a polymerase chain reaction-focussed review of detection and identification methods.

Parasit Vectors. 2022-11-5

[8]
Cutaneous Leishmaniasis: A 2022 Updated Narrative Review into Diagnosis and Management Developments.

Am J Clin Dermatol. 2022-11

[9]
A novel rapid LAMP test for identification of cutaneous leishmaniasis: An evaluation and comparative analysis of three molecular methods.

Microb Pathog. 2022-8

[10]
Evaluation of the CL Detect Rapid Test in Ethiopian patients suspected for Cutaneous Leishmaniasis.

PLoS Negl Trop Dis. 2022-1

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