Human and animal rabies prevention and control cost in Bhutan, 2001–2008: The cost–benefit of dog rabies elimination

Vaccine ◽  
2012 ◽  
Vol 31 (1) ◽  
pp. 260-270 ◽  
Author(s):  
Tenzin ◽  
Kinley Wangdi ◽  
Michael P. Ward
2019 ◽  
Vol 6 (4) ◽  
pp. 524-537 ◽  
Author(s):  
Jing Zhang ◽  
Hongqiang Jiang ◽  
Wei Zhang ◽  
Guoxia Ma ◽  
Yanchao Wang ◽  
...  

2003 ◽  
Vol 222 (2) ◽  
pp. 156-161 ◽  
Author(s):  
Suzanne R. Jenkins ◽  
Michael Auslander ◽  
Lisa Conti ◽  
William B. Johnston ◽  
Mira J. Leslie ◽  
...  

2007 ◽  
Vol 230 (6) ◽  
pp. 833-840 ◽  
Author(s):  
Ben Sun ◽  
Michael Auslander ◽  
Lisa Conti ◽  
Paul Ettestad ◽  
Mira J. Leslie ◽  
...  

PLoS ONE ◽  
2021 ◽  
Vol 16 (2) ◽  
pp. e0246207
Author(s):  
Lelisa Fekadu Assebe ◽  
Wondesen Nigatu Belete ◽  
Senait Alemayehu ◽  
Elias Asfaw ◽  
Kora Tushune Godana ◽  
...  

Background Ethiopia launched the Health Extension Program (HEP) in 2004, aimed at ensuring equitable community-level healthcare services through Health Extension Workers. Despite the program’s being a flagship initiative, there is limited evidence on whether investment in the program represents good value for money. This study assessed the cost and cost-effectiveness of HEP interventions to inform policy decisions for resource allocation and priority setting in Ethiopia. Methods Twenty-one health care interventions were selected under the hygiene and sanitation, family health services, and disease prevention and control sub-domains. The ingredient bottom-up and top-down costing method was employed. Cost and cost-effectiveness were assessed from the provider perspective. Health outcomes were measured using life years gained (LYG). Incremental cost per LYG in relation to the gross domestic product (GDP) per capita of Ethiopia (US$852.80) was used to ascertain the cost-effectiveness. All costs were collected in Ethiopian birr and converted to United States dollars (US$) using the average exchange rate for 2018 (US$1 = 27.67 birr). Both costs and health outcomes were discounted by 3%. Result The average unit cost of providing selected hygiene and sanitation, family health, and disease prevention and control services with the HEP was US$0.70, US$4.90, and US$7.40, respectively. The major cost driver was drugs and supplies, accounting for 53% and 68%, respectively, of the total cost. The average annual cost of delivering all the selected interventions was US$9,897. All interventions fall within 1 times GDP per capita per LYG, indicating that they are very cost-effective (ranges: US$22–$295 per LYG). Overall, the HEP is cost-effective by investing US$77.40 for every LYG. Conclusion The unit cost estimates of HEP interventions are crucial for priority-setting, resource mobilization, and program planning. This study found that the program is very cost-effective in delivering community health services.


2018 ◽  
Author(s):  
Letebrhan Gebrezgiher ◽  
Gebretsadik Berhe ◽  
Aregawi Gebreyesus Belay ◽  
Alefech Adisu

AbstractBackgroundRabies is nearly 100% fatal zoonotic disease. One thousand seven hundred suspected rabies exposures reported in north Ethiopia, Tigray region in 2017, which has the highest rabies prevalence from Ethiopia. Almost half of them were from Central zone only. Of these 38% were in Aksum town and Laelay-Machew. Though Rabies exposure is prevalent in Tigray, there is scanty information on rabies prevention and control practices among dog owners. Thus, this deals with rabies prevention and control practice and associated factors among dog owners.Methods and materialsComparative community based cross-sectional study was conducted in Aksum town and Laelay-Machew district from March 01 to 20, 2018. A multi stage sampling was employed to recruit 558 households. Data were collected via structured and pretested questionnaire. Data were entered into Epi_info_7 and then exported to SPSS_20 for analysis. Both descriptive and inferential analysis was done with 95% confidence intervals at p value of 5% for the final model.ResultThe overall prevalence of poor rabies prevention and control practice was 56% [95%CI (50, 61.9)] in urban and 62% [95% CI (57.2, 67.7)] in rural dog owners. In urban; being government employee [AOR (95%CI) = 0.35 (0.13, 0.94)], private employee [AOR (95%CI) =0.39(0.16, 0.97)] and having poor attitude [(AOR (95%CI) =1.84 (1.04, 3.25)] were significantly associated with outcome variable. Whereas in rural dwellers; having no formal education [AOR (95%CI)=6.41(1.1,38.6)], poor attitude [AOR (95%CI)= 2.19 (1.18,4.05)], having one dog [AOR (95%CI)=3.31(1.34,8.15)], travel ≥30 minute to get vaccine [AOR (95%CI)= 4.26 (2.14,8.47]), no history of dog bite exposure [AOR (95%CI)= 4.16(1.49,11.6)] and neighbors as their source of information [AOR (95%CI) =3.64 (1.31,10.1)] have statistical significance with the outcome variable.Conclusion and RecommendationThe prevalence of poor rabies prevention and control practice was higher among rural dog owners. Thus; interventions should be implemented both to urban and rural residents based on the identified findings so as to promote effective rabies prevention and control activities.


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