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Guidelines for COST-EFFECTIVENESS ANALYSIS OF VECTOR CONTROL

COST-EFFECTIVENESS ANALYSIS – THE BASIC APPROACH
Cost-effectiveness analysisstarts from a problemand aset of proposed solutions. The cost and effectiveness of each of these alternative solutions are estimated and the results for each potential solution compared. The alternative with the lowest cost per unit of health effect is generally preferred. The crucial steps are outlined in the flowchart on the next page.
As the flowchart illustrates, many of the important steps are in the planning phase before any attempt is made to measure cost or effectiveness. This chapter elaborates on each of those planning steps and illustrates them using examples of three situations where the application of cost-effectiveness analysis might be considered.

How best to reduce the disease hazards of proposed development projects
Case: schistosomiasis associated with water resources development. There are plans to construct a dam and irrigation system and it is anticipated that this may exacerbate the local schistosomiasis problem unless remedial action is taken. Design modifications are to be considered to reduce
these effects, for which a convincing case has to he made to the rural development authorities

Auteur / Editeur : Margaret Philips, Anne Mills and Christopher Dye

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