title: Cost-effectiveness of a community-based approach intertwined with a vertical Aedes control program.
abstract: We compared in a 5-year intervention study the cost-effectiveness of community-based environmental management intertwined with routine vertical Aedes control and of routine vertical control only. At baseline (year 2000), Aedes infestation levels and economic costs for vector control were comparable in intervention and control areas (house index, 2.23% versus 2.21% and US$21 versus US$24/yr/inhabitant, respectively). By 2004, house indices became 0.22% versus 2.36% and the costs were 29.8 US$ versus 36.7 US$/yr/inhabitant, respectively. The community cost made up 38.6% of the total economic cost in 2004 in the intervention areas against 23.5% in 2000. The average cost-effectiveness ratio for the intervention period 2001-2004, expressed as the societal cost incurred for the reduction (from baseline) of Aedes foci, was US$831.1 per focus in the intervention areas versus US$2,465.6 in the control areas. The intervention produced economic savings and health benefits that were sustained over the whole observation period.
authors: Instituto de Medicina Tropical Pedro Kourí, Department of Epidemiology, La Habana, Cuba. baly@ipk.sld.cu
authors: Alberto
authors: A
authors: Baly
authors: Maria Eugenia
authors: ME
authors: Toledo
authors: Veerle
authors: V
authors: Vanlerberghe
authors: Enrique
authors: E
authors: Ceballos
authors: Alicia
authors: A
authors: Reyes
authors: Idalmis
authors: I
authors: Sanchez
authors: Marinelli
authors: M
authors: Carvajal
authors: Rizel
authors: R
authors: Maso
authors: Maite
authors: M
authors: La Rosa
authors: Orestes
authors: O
authors: Denis
authors: Marleen
authors: M
authors: Boelaert
authors: Patrick
authors: P
authors: Van der Stuyft
mesh_terms: D000330:Aedes; D000818:Animals; D003153:Community Health Services / Q000191:economics*; D003362:Cost-Benefit Analysis; D003365:Costs and Cost Analysis; D009032:Mosquito Control / Q000191:economics*