The cost-effectiveness of an eradication programme in the end game: Evidence from guinea worm disease.

ABSTRACT:

Background

Of the three diseases targeted for eradication by WHO, two are so-called Neglected Tropical Diseases (NTDs)-guinea worm disease (GWD) and yaws. The Guinea Worm Eradication Programme (GWEP) is in its final stages, with only 25 reported in 2016. However, global eradication still requires certification by WHO of the absence of transmission in all countries. We analyze the cost-effectiveness of the GWEP in the end game, when the number of cases is lower and the cost per case is higher than at any other time. Ours is the first economic evaluation of the GWEP since a World Bank study in 1997.

Methods

Using data from the GWEP, we estimate the cost of the implementation, pre-certification and certification stages. We model cost-effectiveness in the period 1986-2030. We co

SUBMITTER: Fitzpatrick C 

PROVIDER: S-EPMC5628789 | biostudies-literature | 2017 Oct

REPOSITORIES: biostudies-literature