Akinola Ayoola Fatiregun1, Kayode O Osungbade, Aderonke E Olumide. 1. Department of Epidemiology, Medical Statistics and Environmental Health, Faculty of Public Health, College of Medicine, University of Ibadan, Ibadan, Nigeria. akinfati@yahoo.com
Abstract
OBJECTIVE: To carry out a comparative cost-effectiveness analysis of screening methods for urinary schistosomiasis; terminal haematuria, unqualified haematuria, dysuria, visual urine examination and chemical reagent strip technique, in a school-based control programme. DESIGN: Estimation of costs and determination of cost-effect ratios of the screening methods applied in a school-based screening and treatment programme, from the perspective of a programme manager. SETTING: A junior secondary school in Ibadan, Nigeria. MAIN OUTCOME MEASURES: Cost per number of cases correctly diagnosed. RESULTS: Unqualified haematuria was found to be the most cost-effective method costing N51.06 (US$ 2.16) to diagnose a case correctly, followed by terminal haematuria N58.91 (US$ 2.50) and dysuria N84.24 (US$ 3.57). Despite the relatively high input costs of chemical reagent strip technique over visual urine examination (N22.12 (US$ 0.94) per student vs. N6.44 (US$ 0.27) per student), it was found to be more cost effective costing N304.56 (US$ 12.91) to diagnose a case correctly than visual examination of urine cost of N317.58 (US$ 13.46) per correct case diagnosed. CONCLUSION: From the viewpoint of a programme manager, interview method of screening by asking for blood in the urine remains the most efficient means of screening for urinary schistosomiasis in school-based control programmes in our environment.
OBJECTIVE: To carry out a comparative cost-effectiveness analysis of screening methods for urinary schistosomiasis; terminal haematuria, unqualified haematuria, dysuria, visual urine examination and chemical reagent strip technique, in a school-based control programme. DESIGN: Estimation of costs and determination of cost-effect ratios of the screening methods applied in a school-based screening and treatment programme, from the perspective of a programme manager. SETTING: A junior secondary school in Ibadan, Nigeria. MAIN OUTCOME MEASURES: Cost per number of cases correctly diagnosed. RESULTS: Unqualified haematuria was found to be the most cost-effective method costing N51.06 (US$ 2.16) to diagnose a case correctly, followed by terminal haematuria N58.91 (US$ 2.50) and dysuria N84.24 (US$ 3.57). Despite the relatively high input costs of chemical reagent strip technique over visual urine examination (N22.12 (US$ 0.94) per student vs. N6.44 (US$ 0.27) per student), it was found to be more cost effective costing N304.56 (US$ 12.91) to diagnose a case correctly than visual examination of urine cost of N317.58 (US$ 13.46) per correct case diagnosed. CONCLUSION: From the viewpoint of a programme manager, interview method of screening by asking for blood in the urine remains the most efficient means of screening for urinary schistosomiasis in school-based control programmes in our environment.
Authors: Giancarlo Ceccarelli; Gabriella d'Ettorre; Flavia Riccardo; Carla Ceccarelli; Massimo Chiaretti; Alice Picciarella; Laura Elena Pacifici; Vincenzo Vullo Journal: J Immigr Minor Health Date: 2013-08
Authors: Darin S Evans; Jonathan D King; Abel Eigege; John Umaru; William Adamani; Kal Alphonsus; Yohanna Sambo; Emmanual S Miri; Danjuma Goshit; Gladys Ogah; Frank O Richards Journal: Am J Trop Med Hyg Date: 2013-02-04 Impact factor: 2.345
Authors: Nobuyuki Mishima; Samuel K Jemu; Tomoaki Kuroda; Koichiro Tabuchi; Andrew W Darcy; Takaki Shimono; Pheophet Lamaningao; Mari Miyake; Seiji Kanda; Susan Ng'ambi; Yoshihiro Komai; Hirofumi Maeba; Hiroyuki Amano; Toshimasa Nishiyama Journal: Trop Med Health Date: 2019-05-02