Costs analysis of a population level rabies control programme in Tamil Nadu, India.
The study aimed to determine costs to the state government of implementing different interventions for controlling rabies among the entire human and animal populations of Tamil Nadu. This built upon an earlier assessment of Tamil Nadu's efforts to control rabies. Anti-rabies vaccines were made...
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ftdoajarticles:oai:doaj.org/article:53cbe1eae1384e439676c855a586e521 2023-05-15T15:13:35+02:00 Costs analysis of a population level rabies control programme in Tamil Nadu, India. Syed Shahid Abbas Manish Kakkar Elizabeth Tacket Rogawski Roadmap to Combat Zoonoses in India (RCZI) initiative 2014-02-01T00:00:00Z https://doi.org/10.1371/journal.pntd.0002721 https://doaj.org/article/53cbe1eae1384e439676c855a586e521 EN eng Public Library of Science (PLoS) http://europepmc.org/articles/PMC3937306?pdf=render https://doaj.org/toc/1935-2727 https://doaj.org/toc/1935-2735 1935-2727 1935-2735 doi:10.1371/journal.pntd.0002721 https://doaj.org/article/53cbe1eae1384e439676c855a586e521 PLoS Neglected Tropical Diseases, Vol 8, Iss 2, p e2721 (2014) Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 article 2014 ftdoajarticles https://doi.org/10.1371/journal.pntd.0002721 2022-12-31T14:05:25Z The study aimed to determine costs to the state government of implementing different interventions for controlling rabies among the entire human and animal populations of Tamil Nadu. This built upon an earlier assessment of Tamil Nadu's efforts to control rabies. Anti-rabies vaccines were made available at all health facilities. Costs were estimated for five different combinations of animal and human interventions using an activity-based costing approach from the provider perspective. Disease and population data were sourced from the state surveillance data, human census and livestock census. Program costs were extrapolated from official documents. All capital costs were depreciated to estimate annualized costs. All costs were inflated to 2012 Rupees. Sensitivity analysis was conducted across all major cost centres to assess their relative impact on program costs. It was found that the annual costs of providing Anti-rabies vaccine alone and in combination with Immunoglobulins was $0.7 million (Rs 36 million) and $2.2 million (Rs 119 million), respectively. For animal sector interventions, the annualised costs of rolling out surgical sterilisation-immunization, injectable immunization and oral immunizations were estimated to be $ 44 million (Rs 2,350 million), $23 million (Rs 1,230 million) and $ 11 million (Rs 590 million), respectively. Dog bite incidence, health systems coverage and cost of rabies biologicals were found to be important drivers of costs for human interventions. For the animal sector interventions, the size of dog catching team, dog population and vaccine costs were found to be driving the costs. Rabies control in Tamil Nadu seems a costly proposition the way it is currently structured. Policy makers in Tamil Nadu and other similar settings should consider the long-term financial sustainability before embarking upon a state or nation-wide rabies control programme. Article in Journal/Newspaper Arctic Directory of Open Access Journals: DOAJ Articles Arctic PLoS Neglected Tropical Diseases 8 2 e2721 |
institution |
Open Polar |
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Directory of Open Access Journals: DOAJ Articles |
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ftdoajarticles |
language |
English |
topic |
Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 |
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Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 Syed Shahid Abbas Manish Kakkar Elizabeth Tacket Rogawski Roadmap to Combat Zoonoses in India (RCZI) initiative Costs analysis of a population level rabies control programme in Tamil Nadu, India. |
topic_facet |
Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 |
description |
The study aimed to determine costs to the state government of implementing different interventions for controlling rabies among the entire human and animal populations of Tamil Nadu. This built upon an earlier assessment of Tamil Nadu's efforts to control rabies. Anti-rabies vaccines were made available at all health facilities. Costs were estimated for five different combinations of animal and human interventions using an activity-based costing approach from the provider perspective. Disease and population data were sourced from the state surveillance data, human census and livestock census. Program costs were extrapolated from official documents. All capital costs were depreciated to estimate annualized costs. All costs were inflated to 2012 Rupees. Sensitivity analysis was conducted across all major cost centres to assess their relative impact on program costs. It was found that the annual costs of providing Anti-rabies vaccine alone and in combination with Immunoglobulins was $0.7 million (Rs 36 million) and $2.2 million (Rs 119 million), respectively. For animal sector interventions, the annualised costs of rolling out surgical sterilisation-immunization, injectable immunization and oral immunizations were estimated to be $ 44 million (Rs 2,350 million), $23 million (Rs 1,230 million) and $ 11 million (Rs 590 million), respectively. Dog bite incidence, health systems coverage and cost of rabies biologicals were found to be important drivers of costs for human interventions. For the animal sector interventions, the size of dog catching team, dog population and vaccine costs were found to be driving the costs. Rabies control in Tamil Nadu seems a costly proposition the way it is currently structured. Policy makers in Tamil Nadu and other similar settings should consider the long-term financial sustainability before embarking upon a state or nation-wide rabies control programme. |
format |
Article in Journal/Newspaper |
author |
Syed Shahid Abbas Manish Kakkar Elizabeth Tacket Rogawski Roadmap to Combat Zoonoses in India (RCZI) initiative |
author_facet |
Syed Shahid Abbas Manish Kakkar Elizabeth Tacket Rogawski Roadmap to Combat Zoonoses in India (RCZI) initiative |
author_sort |
Syed Shahid Abbas |
title |
Costs analysis of a population level rabies control programme in Tamil Nadu, India. |
title_short |
Costs analysis of a population level rabies control programme in Tamil Nadu, India. |
title_full |
Costs analysis of a population level rabies control programme in Tamil Nadu, India. |
title_fullStr |
Costs analysis of a population level rabies control programme in Tamil Nadu, India. |
title_full_unstemmed |
Costs analysis of a population level rabies control programme in Tamil Nadu, India. |
title_sort |
costs analysis of a population level rabies control programme in tamil nadu, india. |
publisher |
Public Library of Science (PLoS) |
publishDate |
2014 |
url |
https://doi.org/10.1371/journal.pntd.0002721 https://doaj.org/article/53cbe1eae1384e439676c855a586e521 |
geographic |
Arctic |
geographic_facet |
Arctic |
genre |
Arctic |
genre_facet |
Arctic |
op_source |
PLoS Neglected Tropical Diseases, Vol 8, Iss 2, p e2721 (2014) |
op_relation |
http://europepmc.org/articles/PMC3937306?pdf=render https://doaj.org/toc/1935-2727 https://doaj.org/toc/1935-2735 1935-2727 1935-2735 doi:10.1371/journal.pntd.0002721 https://doaj.org/article/53cbe1eae1384e439676c855a586e521 |
op_doi |
https://doi.org/10.1371/journal.pntd.0002721 |
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PLoS Neglected Tropical Diseases |
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e2721 |
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