From: Biniam Haile \(SWE\) (firstname.lastname@example.org)
Date: Thu Jan 08 2009 - 15:21:17 EST
Cost analysis of an integrated disease surveillance and response system:
case of Burkina Faso, Eritrea, and Mali
Published on: 2009-01-08
Communicable diseases are the leading causes of illness, deaths, and
disability in sub-Saharan Africa. To address these threats, countries
within the World Health Organization (WHO) African region adopted a
regional strategy called Integrated Disease Surveillance and Response
This strategy calls for streamlining resources, tools, and approaches to
better detect and respond to the region's priority communicable disease.
The purpose of this study was to analyze the incremental costs of
establishing and subsequently operating activities for detection and
response to the priority diseases under the IDSR.
Methods: We collected cost data for IDSR activities at central,
regional, district, and primary health care center levels from Burkina
Faso, Eritrea, and Mali, countries where IDSR is being fully
These cost data included personnel, transportation items, office
consumable goods, media campaigns, laboratory and response materials and
supplies, and annual depreciation of buildings, equipment, and vehicles.
Results: Over the period studied (2002-2005), the average cost to
implement the IDSR program in Eritrea was $0.16 per capita, $0.04 in
Burkina Faso and $0.02 in Mali. In each country, the mean annual cost of
IDSR was dependent on the health structure level, ranging from $35,899
to $69,920 at the region level, $10,790 to $13,941 at the district
level, and $1,181 to $1,240 at the primary health care center level.
The proportions spent on each IDSR activity varied due to demand for
special items (e.g ., equipment, supplies, drugs and vaccines), service
availability, distance, and the epidemiological profile of the country.
Conclusion: This study demonstrates that the IDSR strategy can be
considered a low cost public health system although the benefits have
yet to be quantified. These data can also be used in future studies of
the cost-effectiveness of IDSR.
Author: Zana C Somda, Martin I Meltzer, Helen N Perry, Nancy E
Messonnier, Usman Abdulmumini, Goitom Mebrahtu, Massambou Sacko,
Kandioura Toure, Salimnta Ouedraogo Ki, Tuoyo Okorosobo, Wondimagegnehu
Alemu and Idrissa Sow
Credits/Source: Cost Effective
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