Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học Critical Care giúp cho các bạn có thêm kiến thức về ngành y học đề tài: Cost-effectiveness of three malaria treatment strategies in rural Tigray, Ethiopia where both Plasmodium falciparum and Plasmodium vivax co-dominate. | Lemma et al. Cost Effectiveness and Resource Allocation 2011 9 2 http content 9 1 2 COST EFFECTIVENESS AND RESOURCE ALLOCATION RESEARCH Open Access Cost-effectiveness of three malaria treatment strategies in rural Tigray Ethiopia where both Plasmodium falciparum and Plasmodium vivax co-dominate Hailemariam Lemma1 Miguel San Sebastian2 Curt Lofgren2 GebreAb Barnabas1 Abstract Background Malaria transmission in Ethiopia is unstable and the disease is a major public health problem. Both 60 and 40 co-dominantly exist. The national guideline recommends three different diagnosis and treatment strategies at health post level i the use of a vivax specific RDT as diagnosis tool and to treat with artemether-lumefantrine AL chloroquine CQ or referral if the patient was diagnosed with or no malaria respectively parascreen pan pf based strategy ii the use of a specific RDT and AL for cases and CQ for the rest paracheck pf based strategy and iii the use of AL for all cases diagnosed presumptively as malaria presumptive based strategy . This study aimed to assess the costeffectiveness of the recommended three diagnosis and treatment strategies in the Tigray region of Ethiopia. Methods The study was conducted under a routine health service delivery following the national malaria diagnosis and treatment guideline. Every suspected malaria case who presented to a health extension worker either at a village or health post was included. Costing from the provider s perspective only included diagnosis and antimalarial drugs. Effectiveness was measured by the number of correctly treated cases CTC and average and incremental cost-effectiveness calculated. One-way and two-way sensitivity analyses were conducted for selected parameters. Results In total 2 422 subjects and 35 health posts were enrolled in the study. The average cost-effectiveness ratio showed that the parascreen pan pf
