scholarly journals A Cost Analysis of Options for Schistosomiasis Control MDA Programs Targeting Children Aged Five Years and below in uMkhanyakude District of KwaZulu-Natal Province, South Africa

2020 ◽  
Author(s):  
Mhlengi Vella Ncube ◽  
Moses John Chimbari
Keyword(s):  
South Africa ◽  
Early Childhood ◽  
Early Childhood Development ◽  
Cost Effective ◽  
Childhood Development ◽  
Team Approach ◽  
Vitamin A Supplementation ◽  
Schistosomiasis Control ◽  
Kwazulu Natal ◽  
The Cost

Abstract BackgroundSchistosomiasis negatively impacts early childhood development. Inclusion of children aged five years and below in mass drug administration (MDA) programs for controlling schistosomiasis could improve early childhood development in communities where the disease is endemic. We estimated the projected cost of implementing a schistosomiasis control MDA program for children aged five years and below in the uMkhanyakude district of South Africa.MethodWe calculated the cost of implementing a schistosomiasis MDA program targeting children aged five years and below using an economies of scaled based cost function. We further compared different labor composition simulations to determine the most affordable and available human resources to implement the program. We also explored programs to which the MDA program could be integrated; and estimated what the costs for would be. Moreover, we simulated cost-effectiveness and determined the cost drivers for each simulation considered.ResultsA ward-based outreach team (WBOT) for implementing a schistosomiasis MDA program targeting children 5 years old and below was the best labor composition option. The simulations conducted indicated that treating children in batches of 2500 using the WBOT team approach could reduce the cost of treatment by 53% compared to treating the children on batches of 500. Integrating a schistosomiasis MDA targeting children aged 5 years and below with the immunization program was estimated to cost 3% less than integration with the deworming and Vitamin A supplementation program indicating that the former option is more cost-effective. Praziquantel, the drug that is used to treat schistosomiasis contributed 59% of the total cost for such a program.Conclusion.We estimated that US$4.3 million would be needed to implement a cost effective MDA program targeting children 5 years old and blow over 3 years in uMkhanyakude district.

scholarly journals A cost analysis of options for schistosomiasis control MDA programs targeting children aged five years and below in uMkhanyakude District of KwaZulu-Natal Province, South Africa

2020 ◽  
Author(s):  
Mhlengi Vella Ncube ◽  
Moses John Chimbari
Keyword(s):  
South Africa ◽  
Early Childhood ◽  
Early Childhood Development ◽  
Cost Effective ◽  
Childhood Development ◽  
Team Approach ◽  
Vitamin A Supplementation ◽  
Schistosomiasis Control ◽  
Kwazulu Natal ◽  
The Cost

Abstract BackgroundSchistosomiasis negatively impacts early childhood development. Inclusion of children aged five years and below in mass drug administration (MDA) programs for controlling schistosomiasis could improve early childhood development in communities where the disease is endemic. We estimated the projected cost of implementing a schistosomiasis control MDA program for children aged five years and below in the uMkhanyakude district of South Africa.MethodWe calculated the cost of implementing a schistosomiasis MDA program targeting children aged five years and below using an economies of scaled based cost function. We further compared different labor composition simulations to determine the most affordable and available human resources to implement the program. We also explored programs to which the MDA program could be integrated; and estimated what the costs for would be. Moreover, we simulated cost-effectiveness and determined the cost drivers for each simulation considered.ResultsA ward-based outreach team (WBOT) for implementing a schistosomiasis MDA program targeting children 5 years old and below was the best labor composition option. The simulations conducted indicated that treating children in batches of 2500 using the WBOT team approach could reduce the cost of treatment by 53% compared to treating the children on batches of 500. Integrating a schistosomiasis MDA targeting children aged 5 years and below with the immunization program was estimated to cost 3% less than integration with the deworming and Vitamin A supplementation program indicating that the former option is more cost-effective. Praziquantel, the drug that is used to treat schistosomiasis contributed 59% of the total cost for such a program.Conclusion.We estimated that US$4.3 million would be needed to implement a cost effective MDA program targeting children 5 years old and blow over 3 years in uMkhanyakude district.

scholarly journals A Cost Analysis of Options for Schistosomiasis Control Mda Programs Targeting Children Aged Five Years and Below in Umkhanyakude District of Kwazulu-natal Province, South Africa

2020 ◽  
Author(s):  
Mhlengi Vella Ncube ◽  
Moses John Chimbari
Keyword(s):  
South Africa ◽  
Early Childhood ◽  
Early Childhood Development ◽  
Cost Effective ◽  
Childhood Development ◽  
Team Approach ◽  
Vitamin A Supplementation ◽  
Schistosomiasis Control ◽  
Kwazulu Natal ◽  
The Cost

Abstract BackgroundSchistosomiasis negatively impacts early childhood development. Inclusion of children aged five years and below in mass drug administration (MDA) programs for controlling schistosomiasis could improve early childhood development in communities where the disease is endemic. We estimated the projected cost of implementing a schistosomiasis control MDA program for children aged five years and below in the uMkhanyakude district of South Africa.MethodWe calculated the cost of implementing a schistosomiasis MDA program targeting children aged five years and below using an economies of scaled based cost function. We further compared different labor composition simulations to determine the most affordable and available human resources to implement the program. We also explored programs to which the MDA program could be integrated; and estimated what the costs for would be. Moreover, we simulated cost-effectiveness and determined the cost drivers for each simulation considered.ResultsA ward-based outreach team (WBOT) for implementing a schistosomiasis MDA program targeting children 5 years old and below was the best labor composition option. The simulations conducted indicated that treating children in batches of 2500 using the WBOT team approach could reduce the cost of treatment by 53% compared to treating the children on batches of 500. Integrating a schistosomiasis MDA targeting children aged 5 years and below with the immunization program was estimated to cost 3% less than integration with the deworming and Vitamin A supplementation program indicating that the former option is more cost-effective. Praziquantel, the drug that is used to treat schistosomiasis contributed 59% of the total cost for such a program.Conclusion.We estimated that US$4.3 million would be needed to implement a cost effective MDA program targeting children 5 years old and blow over 3 years in uMkhanyakude district.

scholarly journals A cost analysis of options for schistosomiasis control MDA programs targeting children aged five years and below in uMkhanyakude District of KwaZulu-Natal Province, South

2021 ◽  
Author(s):  
Mhlengi Vella Ncube ◽  
Moses John Chimbari
Keyword(s):  
Early Childhood ◽  
Early Childhood Development ◽  
Cost Effective ◽  
Childhood Development ◽  
Team Approach ◽  
Cost Of Treatment ◽  
Vitamin A Supplementation ◽  
Schistosomiasis Control ◽  
Kwazulu Natal ◽  
The Cost

Abstract Background Schistosomiasis negatively impacts early childhood development. Inclusion of children aged five years and below in mass drug administration (MDA) programs for controlling schistosomiasis could improve early childhood development in communities where the disease is endemic. We estimated the projected cost of implementing a schistosomiasis control MDA program for children aged five years and below in the uMkhanyakude district of South Africa.Method We calculated the cost of implementing a schistosomiasis MDA program targeting children aged five years and below using an economies of scaled based cost function. We further compared different labor composition simulations to determine the most affordable and available human resources to implement the program. We also explored programs to which the MDA program could be integrated; and estimated what the costs for would be. Moreover, we simulated cost-effectiveness and determined the cost drivers for each simulation considered.Results A ward-based outreach team (WBOT) for implementing a schistosomiasis MDA program targeting children 5 years old and below was the best labor composition option. The simulations conducted indicated that treating children in batches of 2500 using the WBOT team approach could reduce the cost of treatment by 53% compared to treating the children on batches of 500. Integrating a schistosomiasis MDA targeting children aged 5 years and below with the immunization program was estimated to cost 3% less than integration with the deworming and Vitamin A supplementation program indicating that the former option is more cost-effective. Praziquantel, the drug that is used to treat schistosomiasis contributed over 30% of the total cost for the program.Conclusion. We estimated that between US$6,5 million and US$ 7,5 million would be needed to implement a cost effective MDA program targeting children 5 years old and blow over 3 years in uMkhanyakude district.

scholarly journals Problems and Prospects in Early Childhood Education Provisioning in Turkey and South Africa

2015 ◽  
Vol 52 (4) ◽  
pp. 444-457
Author(s):  
Corinne Meier ◽  
Eleanor Lemmer ◽  
Demet Gören Niron
Keyword(s):  
South Africa ◽  
Early Childhood ◽  
Early Childhood Development ◽  
Systems Approach ◽  
Analytical Framework ◽  
The United States ◽  
Childhood Development ◽  
Policy And Practice ◽  
The Us ◽  
Made In

The benefits of early childhood development (ECD) programmes are strongly supported by evidence of reduced school dropout and repetition rates. However, the literature on ECD is primarily grounded in research based in the United States (US); in the light of this gap in the literature, this paper provides a comparative overview of ECD policy and practice from outside of the US, namely in South Africa and Turkey. As a theoretical framework the paper has followed the World Bank’s Systems Approach for Better Education Results (SABER)-ECD Analytical Framework. Findings indicate that both countries have established an enabling policy environment for ECD but implementation and the setting of and compliance to standards for quality is still emerging, in spite of massive strides made in this field during the past fifteen years.

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