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Use of insecticide treated school uniforms for prevention of dengue in schoolchildren : a cost-effectiveness analysis

หน่วยงาน Nanyang Technological University, Singapore

รายละเอียด

ชื่อเรื่อง : Use of insecticide treated school uniforms for prevention of dengue in schoolchildren : a cost-effectiveness analysis
นักวิจัย : Tozan, Yesim , Ratanawong, Pitcha , Louis, Valérie R. , Kittayapong, Pattamaporn , Wilder-Smith, Annelies
คำค้น : DRNTU::Science::Medicine
หน่วยงาน : Nanyang Technological University, Singapore
ผู้ร่วมงาน : Smith, Thomas A.
ปีพิมพ์ : 2557
อ้างอิง : Tozan, Y., Ratanawong, P., Louis, V. R., Kittayapong, P., & Wilder-Smith, A. (2014). Use of insecticide treated school uniforms for prevention of dengue in schoolchildren : a cost-effectiveness analysis. PLoS ONE, 9(9), e108017-. , 1932-6203 , http://hdl.handle.net/10220/23909 , http://dx.doi.org/10.1371/journal.pone.0108017
ที่มา : -
ความเชี่ยวชาญ : -
ความสัมพันธ์ : PLoS ONE
ขอบเขตของเนื้อหา : -
บทคัดย่อ/คำอธิบาย :

Background: Dengue-related illness is a leading cause of hospitalization and death, particularly among children. Practical, acceptable and affordable measures are urgently needed to protect this age group. Schools where children spend most of their day is proposed as an ideal setting to implement preventive strategies against day-biting Aedes mosquitoes. The use of insecticide-treated school uniforms is a promising strategy currently under investigation. Methods: Using a decision-analytic model, we evaluated the cost-effectiveness of the use of insecticide-treated school uniforms for prevention of dengue, compared with a ‘‘do-nothing’’ alternative, in schoolchildren from the societal perspective. We explored how the potential economic value of the intervention varied under various scenarios of intervention effectiveness and cost, as well as dengue infection risk in school-aged children, using data specific to Thailand. Results: At an average dengue incidence rate of 5.8% per year in school-aged children, the intervention was cost-effective (ICER#$16,440) in a variety of scenarios when the intervention cost per child was $5.3 or less and the intervention effectiveness was 50% or higher. In fact, the intervention was cost saving (ICER,0) in all scenarios in which the intervention cost per child was $2.9 or less per year and the intervention effectiveness was 50% or higher. The results suggested that this intervention would be of no interest to Thai policy makers when the intervention cost per child was $10.6 or higher per year regardless of intervention effectiveness (ICER.$16,440). Conclusions: Our results present the potential economic value of the use of insecticide-treated uniforms for prevention of dengue in schoolchildren in a typical dengue endemic setting and highlight the urgent need for additional research on this intervention.

บรรณานุกรม :
Tozan, Yesim , Ratanawong, Pitcha , Louis, Valérie R. , Kittayapong, Pattamaporn , Wilder-Smith, Annelies . (2557). Use of insecticide treated school uniforms for prevention of dengue in schoolchildren : a cost-effectiveness analysis.
    กรุงเทพมหานคร : Nanyang Technological University, Singapore.
Tozan, Yesim , Ratanawong, Pitcha , Louis, Valérie R. , Kittayapong, Pattamaporn , Wilder-Smith, Annelies . 2557. "Use of insecticide treated school uniforms for prevention of dengue in schoolchildren : a cost-effectiveness analysis".
    กรุงเทพมหานคร : Nanyang Technological University, Singapore.
Tozan, Yesim , Ratanawong, Pitcha , Louis, Valérie R. , Kittayapong, Pattamaporn , Wilder-Smith, Annelies . "Use of insecticide treated school uniforms for prevention of dengue in schoolchildren : a cost-effectiveness analysis."
    กรุงเทพมหานคร : Nanyang Technological University, Singapore, 2557. Print.
Tozan, Yesim , Ratanawong, Pitcha , Louis, Valérie R. , Kittayapong, Pattamaporn , Wilder-Smith, Annelies . Use of insecticide treated school uniforms for prevention of dengue in schoolchildren : a cost-effectiveness analysis. กรุงเทพมหานคร : Nanyang Technological University, Singapore; 2557.