Empirical estimation of resource constraints for use in model-based economic evaluation: an example of TB services in South Africa.

ABSTRACT:

Background

Evidence on the relative costs and effects of interventions that do not consider 'real-world' constraints on implementation may be misleading. However, in many low- and middle-income countries, time and data scarcity mean that incorporating health system constraints in priority setting can be challenging.

Methods

We developed a 'proof of concept' method to empirically estimate health system constraints for inclusion in model-based economic evaluations, using intensified case-finding strategies (ICF) for tuberculosis (TB) in South Africa as an example. As part of a strategic planning process, we quantified the resources (fiscal and human) needed to scale up different ICF strategies (cough triage and WHO symptom screening). We identified and characterised three cons

SUBMITTER: Bozzani FM 

PROVIDER: S-EPMC6065151 | biostudies-literature | 2018

REPOSITORIES: biostudies-literature