[To screen or systematically treat a population at risk? A method based on the analysis of costs applicable at the level of district health].
With severely limited resources, it is necessary for the health services to select the most efficient strategy for managing health problems in a population at risk. A simple method for cost analysis, which can be used at the district health care level, is proposed so that one can choose between selective treatment on the basis of case identification, or indiscriminate treatment of the entire population at risk. The treatment of anaemia at the antenatal clinic in health centres in southwestern Chad was studied and is presented as an example. The conditions for use and the limitations of the method are discussed.
François
B
B
Bureau de Statistiques, Planification et Etudes, Ministère de la Santé Publique et des Affaires Sociales, Tchad.
Dujardin
B
B
Kegels
G
G
D000740:Anemia / Q000188:drug therapy / Q000191:economics / Q000453:epidemiology / Q000517:prevention & control*; D002596:Chad / Q000453:epidemiology; D003362:Cost-Benefit Analysis; D003661:Decision Support Techniques; D016527:Drug Costs; D005260:Female; D006302:Health Services Research; D006305:Health Status Indicators; D006801:Humans; D008403:Mass Screening / Q000191:economics / Q000379:methods; D011247:Pregnancy; D011250:Pregnancy Complications, Hematologic / Q000188:drug therapy / Q000191:economics / Q000453:epidemiology / Q000517:prevention & control*; D011635:Public Health Administration; D012307:Risk Factors; D016896:Treatment Outcome
Dépister ou traiter systématiquement une population à risque? Une méthode basée sur l'analyse des coûts utilisable au niveau du district sanitaire.