作者: MARTIN I. MELTZER , FEIKO O. TER KUILE , BERNARD L. NAHLEN , PENELOPE A. PHILLIPS-HOWARD , WILLIAM A. HAWLEY
DOI: 10.4269/AJTMH.2003.68.149
关键词: Developing country 、 Malaria 、 Cost–benefit analysis 、 Population 、 Child mortality 、 Environmental protection 、 Mosquito net 、 Environmental health 、 Public health 、 Health care 、 Medicine
摘要: We measured the two-week household-level economic impact of insecticide (permethrin)-treated bed nets (ITNs) used to prevent malaria among children less than five years age in Asembo, Kenya. The ITNs induced a reduction 15 Kenyan shillings (KSH) (U.S. $0.25; P < 0.0001) health care expenditures, but statistically insignificant 0.5 day (P = 0.280) household time lost due caring for sick children. equivalent annual threshold cost was estimated at U.S. $6.50 (95% confidence interval 3.12–9.86). If actual purchase price and maintenance costs were greater this threshold, then households would pay more they save (and vice-versa). Both seasonal effects number per had larger impacts on expenditures from activities. Health by without one child only 32 KSH two weeks $0.50; 0.002), leaving little opportunity household-level, ITN-induced direct savings. widespread adoption will therefore probably require subsidy.