2006年安徽省血吸虫病防治费用-效果分析

Cost-effectiveness analysis on schistosomiasis control in 2006,Anhui province

目的为血吸虫病防治卫生经济学评估提供依据,为制订全省防治血吸虫病防治对策提供参考。方法调查与收集各项血吸虫病防治措施的费用情况,通过专家咨询,确定各项血吸虫病防治效果评估指标及其权重分值,并对2006年安徽省12个国家级血吸虫病监测点进行费用—效果分析。结果除药物灭螺措施外,其它各项措施费用中人员工资的构成明显较高(55.4%～78.7%),而药品、试剂和仪器设备费用构成则较低(0.8%～25.6%)。费用—效果分析比较显示有4个监测点效果—费用比偏低,这与单纯的防治效果分析呈现出明显不一致。结论当前血吸虫病防治的投入与产出的效果、效益存在一定的偏差,其中着重需要提高钉螺控制和健康行为促进的防治效果,即加强药物灭螺的质量控制和改水、改厕等卫生行为促成,从而提高血吸虫病防治工作效益。

Objective To assess cost-effectiveness on references for making out control strategies in Anhui province strategies for schistosomiasis control, and provide Methods The cost of measures for schistosomiasis control was collected, and the Delphi method was used to determine the evaluation indexes and their weights on the effect of schistosomiasis control. The cost-effectiveness was analyzed for the 12 national surveillance sites in 2006. Results In addition to mollusciciding, the proportion of personnel salary was obviously higher （55.4%-78.7%）in other control measures, and the cost of reagent, instrument and equipment was in a small proportion （0.8%-25.6%）. Four national surveillance sites showed a lower cost-effecfveness and took on inconsistent obviously with simple analysis of control effect. Conclusion There were some deviation be- tween the input and output in schistosomiasis control at present, and the effect of snail control and health education should be emphasized to improve the benefit on schistosomiasis control.