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Cost-effectiveness of the strategies to reduce the incidence of dengue in Colima, México

Mendoza-Cano, Oliver [autor] | Hernández Suárez, Carlos Moisés [autor] | Trujillo, Xóchitl [autora] | Ochoa Díaz López, Héctor [autor] | Lugo Radillo, Agustín [autor] | Espinoza Gómez, Francisco [autor] | de la Cruz-Ruiz, Miriam [autora] | Sánchez Piña, Ramón Alberto [autor] | Murillo Zamora, Efrén [autor].
Tipo de material: Artículo en línea Artículo en línea Tipo de contenido: Texto Tipo de medio: Computadora Tipo de portador: Recurso en líneaTema(s): Dengue | Análisis económico | Participación comunitaria | Salud públicaTema(s) en inglés: Dengue | Economic analysis | Community participation | Public healthDescriptor(es) geográficos: Colima (México) Nota de acceso: Acceso en línea sin restricciones En: International Journal of Environmental Research and Public Health. Volumen 14, número 8, 890 (August 2017), páginas 1-9. --ISSN: 1660-4601Número de sistema: 11925Resumen:
Inglés

Dengue fever is considered to be one of the most important arboviral diseases globally. Unsuccessful vector-control strategies might be due to the lack of sustainable community participation. The state of Colima, located in the Western region of Mexico, is a dengue-endemic area despite vector-control activities implemented, which may be due to an insufficient health economic analysis of these interventions. A randomized controlled community trial took place in five urban municipalities where 24 clusters were included. The study groups (n = 4) included an intervention to improve the community participation in vector control (A), ultra-low volume (ULV) spraying (B), both interventions (AB), and a control group. The main outcomes investigated were dengue cumulative incidence, disability-adjusted life years (DALYs), and the direct costs per intervention. The cumulative incidence of dengue was 17.4%, A; 14.3%, B; 14.4%, AB; and 30.2% in the control group. The highest efficiency and effectiveness were observed in group B (0.526 and 6.97, respectively) and intervention A was more likely to be cost-effective ($3952.84 per DALY avoided) followed by intervention B ($4472.09 per DALY avoided). Our findings suggest that efforts to improve community participation in vector control and ULV-spraying alone are cost-effective and may be useful to reduce the vector density and dengue incidence.

Recurso en línea: http://www.mdpi.com/1660-4601/14/8/890
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Acceso en línea sin restricciones

Dengue fever is considered to be one of the most important arboviral diseases globally. Unsuccessful vector-control strategies might be due to the lack of sustainable community participation. The state of Colima, located in the Western region of Mexico, is a dengue-endemic area despite vector-control activities implemented, which may be due to an insufficient health economic analysis of these interventions. A randomized controlled community trial took place in five urban municipalities where 24 clusters were included. The study groups (n = 4) included an intervention to improve the community participation in vector control (A), ultra-low volume (ULV) spraying (B), both interventions (AB), and a control group. The main outcomes investigated were dengue cumulative incidence, disability-adjusted life years (DALYs), and the direct costs per intervention. The cumulative incidence of dengue was 17.4%, A; 14.3%, B; 14.4%, AB; and 30.2% in the control group. The highest efficiency and effectiveness were observed in group B (0.526 and 6.97, respectively) and intervention A was more likely to be cost-effective ($3952.84 per DALY avoided) followed by intervention B ($4472.09 per DALY avoided). Our findings suggest that efforts to improve community participation in vector control and ULV-spraying alone are cost-effective and may be useful to reduce the vector density and dengue incidence. eng

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