The Costs and Cost-effectiveness of Tuberculosis Control by Anna Vassall

By Anna Vassall

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BMJ Vol 315 1407-1411. (29 Nov) 1997 11. Floyd K. Guidelines for cost and the cost effectiveness analysis of tuberculosis control. World Health Organisation 2002. 305a 12. Hamers FF, Downs AM, 2003. HIV in central and eastern Europe. Lancet 361: 1035-44. 52 The costs and cost-effectiveness of tuberculosis control 13. Jacobs B, Clowes C, Wares F, Polivakho V, Lyagoshina T, Permitin G, Banatvala N. Cost-effectiveness analysis of the Russian treatment scheme for tuberculosis versus short-course chemotherapy: results from Tomsk, Siberia.

Floyd K. Generic protocols for cost en cost-effectiveness analysis of tuberculosis diagnosis and treatment services. WHO; 1999. 19. Sawert, H. Cost Analysis and Cost Containment in Tuberculosis Control Programmes; The case of Malawi. WHO; 1996. 20. Berman, P. Nandakumar AK, Yip W. Health Care Utilization and Expenditures in the Arab Republic of Egypt. Partnership for Health Reform, Health Policy Support Programme. Technical Report 25. PHR; 1998. 36 The costs and cost-effectiveness of tuberculosis control Chapter 3 Reforming tuberculosis control in Ukraine; results of pilot projects and implications for the national scale-up of DOTS A Vassall Y Chechulin I Raykhert N Osalenko MJ van der Werf S Svetlichnaya A Kovalyova LV Turchenko E Hasker К Miskinis J Veen R Zaleskis Health Policy and Planning 2009 Jan; 24(1): 55-62 SUMMARY The period of economic transition has had severe consequences for health and health systems in Ukraine.

Initial sputum results after two months showed 63% of patients converting to negative. There was a 43% treatment success rate in the old system, suggesting that improvements were made. Table 2 – Effectiveness of Diagnosis and Treatment, WHO treatment outcome classification Treatment Outcome Failure Treatment interrupted Died Transfer out Treatment success Mariupol Kyiv 2001 2003 2001 2003 18% 18% 5% 1% 58% 14% 8% 3% 1% 74% 11% 30% 14% 2% 43% Sputum conversion at two months 63% Health Service Costs Both projects also demonstrated a reduction in costs.

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