Cost of a new method of active screening for human African trypanosomiasis in the Democratic Republic of the Congo.
Background Human African trypanosomiases caused by the Trypanosoma brucei gambiense parasite is a lethal disease targeted for eradication. One of the main disease control strategies is active case-finding through outreach campaigns. In 2014, a new method for active screening was developed with mini,...
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ftdoajarticles:oai:doaj.org/article:72651077c8fb4d04a618d0a447af8b18 2023-05-15T15:14:17+02:00 Cost of a new method of active screening for human African trypanosomiasis in the Democratic Republic of the Congo. Rian Snijders Alain Fukinsia Yves Claeys Alain Mpanya Epco Hasker Filip Meheus Erick Miaka Marleen Boelaert 2020-12-01T00:00:00Z https://doi.org/10.1371/journal.pntd.0008832 https://doaj.org/article/72651077c8fb4d04a618d0a447af8b18 EN eng Public Library of Science (PLoS) https://doi.org/10.1371/journal.pntd.0008832 https://doaj.org/toc/1935-2727 https://doaj.org/toc/1935-2735 1935-2727 1935-2735 doi:10.1371/journal.pntd.0008832 https://doaj.org/article/72651077c8fb4d04a618d0a447af8b18 PLoS Neglected Tropical Diseases, Vol 14, Iss 12, p e0008832 (2020) Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 article 2020 ftdoajarticles https://doi.org/10.1371/journal.pntd.0008832 2022-12-31T05:48:39Z Background Human African trypanosomiases caused by the Trypanosoma brucei gambiense parasite is a lethal disease targeted for eradication. One of the main disease control strategies is active case-finding through outreach campaigns. In 2014, a new method for active screening was developed with mini, motorcycle-based, teams. This study compares the cost of two active case-finding approaches, namely the traditional mobile teams and mini mobile teams, in the two health districts of the Democratic Republic of the Congo. Methods The financial and economic costs of both approaches were estimated from a health care provider perspective. Cost and operational data were collected for 12 months for 1 traditional team and 3 mini teams. The cost per person screened and diagnosed was calculated and univariate sensitivity analysis was conducted to identify the main cost drivers. Results During the study period in total 264,630 people were screened, and 23 HAT cases detected. The cost per person screened was lower for a mini team than for a traditional team in the study setting (US$1.86 versus US$2.08). A comparable result was found in a scenario analysis, assuming both teams would operate in a similar setting, with the cost per person screened by a mini team 15% lower than the cost per person screened by a traditional team (1.86 $ vs 2.14$). The main explanations for this lower cost are that mini teams work with fewer human resources, cheaper means of transportation and do not perform the Capillary Tube Centrifugation test or card agglutination test dilutions. Discussion Active HAT screening with mini mobile teams has a lower cost and could be a cost-effective alternative for active case-finding. Further research is needed to determine if mini mobile teams have similar or better yields than traditional mobile teams in terms of detections and cases successfully treated. Article in Journal/Newspaper Arctic Directory of Open Access Journals: DOAJ Articles Arctic PLOS Neglected Tropical Diseases 14 12 e0008832 |
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Directory of Open Access Journals: DOAJ Articles |
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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 Rian Snijders Alain Fukinsia Yves Claeys Alain Mpanya Epco Hasker Filip Meheus Erick Miaka Marleen Boelaert Cost of a new method of active screening for human African trypanosomiasis in the Democratic Republic of the Congo. |
topic_facet |
Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 |
description |
Background Human African trypanosomiases caused by the Trypanosoma brucei gambiense parasite is a lethal disease targeted for eradication. One of the main disease control strategies is active case-finding through outreach campaigns. In 2014, a new method for active screening was developed with mini, motorcycle-based, teams. This study compares the cost of two active case-finding approaches, namely the traditional mobile teams and mini mobile teams, in the two health districts of the Democratic Republic of the Congo. Methods The financial and economic costs of both approaches were estimated from a health care provider perspective. Cost and operational data were collected for 12 months for 1 traditional team and 3 mini teams. The cost per person screened and diagnosed was calculated and univariate sensitivity analysis was conducted to identify the main cost drivers. Results During the study period in total 264,630 people were screened, and 23 HAT cases detected. The cost per person screened was lower for a mini team than for a traditional team in the study setting (US$1.86 versus US$2.08). A comparable result was found in a scenario analysis, assuming both teams would operate in a similar setting, with the cost per person screened by a mini team 15% lower than the cost per person screened by a traditional team (1.86 $ vs 2.14$). The main explanations for this lower cost are that mini teams work with fewer human resources, cheaper means of transportation and do not perform the Capillary Tube Centrifugation test or card agglutination test dilutions. Discussion Active HAT screening with mini mobile teams has a lower cost and could be a cost-effective alternative for active case-finding. Further research is needed to determine if mini mobile teams have similar or better yields than traditional mobile teams in terms of detections and cases successfully treated. |
format |
Article in Journal/Newspaper |
author |
Rian Snijders Alain Fukinsia Yves Claeys Alain Mpanya Epco Hasker Filip Meheus Erick Miaka Marleen Boelaert |
author_facet |
Rian Snijders Alain Fukinsia Yves Claeys Alain Mpanya Epco Hasker Filip Meheus Erick Miaka Marleen Boelaert |
author_sort |
Rian Snijders |
title |
Cost of a new method of active screening for human African trypanosomiasis in the Democratic Republic of the Congo. |
title_short |
Cost of a new method of active screening for human African trypanosomiasis in the Democratic Republic of the Congo. |
title_full |
Cost of a new method of active screening for human African trypanosomiasis in the Democratic Republic of the Congo. |
title_fullStr |
Cost of a new method of active screening for human African trypanosomiasis in the Democratic Republic of the Congo. |
title_full_unstemmed |
Cost of a new method of active screening for human African trypanosomiasis in the Democratic Republic of the Congo. |
title_sort |
cost of a new method of active screening for human african trypanosomiasis in the democratic republic of the congo. |
publisher |
Public Library of Science (PLoS) |
publishDate |
2020 |
url |
https://doi.org/10.1371/journal.pntd.0008832 https://doaj.org/article/72651077c8fb4d04a618d0a447af8b18 |
geographic |
Arctic |
geographic_facet |
Arctic |
genre |
Arctic |
genre_facet |
Arctic |
op_source |
PLoS Neglected Tropical Diseases, Vol 14, Iss 12, p e0008832 (2020) |
op_relation |
https://doi.org/10.1371/journal.pntd.0008832 https://doaj.org/toc/1935-2727 https://doaj.org/toc/1935-2735 1935-2727 1935-2735 doi:10.1371/journal.pntd.0008832 https://doaj.org/article/72651077c8fb4d04a618d0a447af8b18 |
op_doi |
https://doi.org/10.1371/journal.pntd.0008832 |
container_title |
PLOS Neglected Tropical Diseases |
container_volume |
14 |
container_issue |
12 |
container_start_page |
e0008832 |
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1766344749002784768 |