Volume 85, Issue 5
  • ISSN: 0002-9637
  • E-ISSN: 1476-1645



We conducted a cost analysis of Haiti's Ministry of Public Health and Population neglected tropical disease program, Projet des Maladies Tropicales Negligées and collected data for 9 of 55 communes participating in the May 2008–April 2009 mass drug administration (MDA). The Projet des Maladies Tropicales Negligées Program partnered with IMA World Health and Hôpital Ste. Croix to implement MDA for treatment of lymphatic filariasis and soil-transmitted helminthiasis by using once a year treatment with albendazole and diethylcarbamazine in a population of approximately 8 million persons. Methods included analyzing partner financial records and conducting retrospective surveys of personnel. In the nine communes, 633,261 persons were treated at a cost of U.S. $0.64 per person, which included the cost of donated drugs, and at a cost of U.S. $0.42 per person treated, when excluding donated drug costs. The MDA for lymphatic filariasis in Haiti began in 2000, with the treatment of 105,750 persons at a cost per person of U.S. $2.23. The decrease in cost per person treated is the result of cumulative implementation experience and economies of scale.


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  1. Conteh L, Engels T, Molyneux DH, 2010. Socioeconomic aspects of neglected tropical diseases. Lancet 375: 239247.[Crossref]
    [Google Scholar]
  2. UNICEF, 2010. At a Glance: Haiti. Available at: http://www.unicef.org/infobycountry/haiti_statistics.html?q=printme.
    [Google Scholar]
  3. Ministere de la Sante Publique et de la Population, 2010. Plan Interimaire du Secture Sante: Avril 2010–Septembre 2011. Available at: http://www.mspp.gouv.ht/site/download/plan_interimaire.pdf.
    [Google Scholar]
  4. Beau de Rochars MV, Milord MD, St Jean Y, Désormeaux AM, Dorvil JJ, Lafontant JG, Addiss DG, Streit TG, 2004. Geographic distribution of lymphatic filariasis in Haiti. Am J Trop Med Hyg 71: 598601.
    [Google Scholar]
  5. World Health Organization, 2006. Preventive Chemotherapy in Human Helminthiasis: Coordinated Use of Anthelmanthic Drugs in Control Interventions: A Manual for Health Professionals and Programme Managers. Geneva: World Health Organization.
    [Google Scholar]
  6. de Rochars MB, Direny AN, Roberts JM, Addiss DG, Radday J, Beach MJ, Streit TG, Dardith D, Lafontant JG, Lammie PJ, 2004. Community-wide reduction in prevalence and intensity of intestinal helminths as a collateral benefit of lymphatic filariasis elimination programs. Am J Trop Med Hyg 71: 466470.
    [Google Scholar]
  7. Goldman AS, Guisinger VH, Aikins M, Amarillo ML, Belizario VY, Garshong B, Gyapong J, Kabali C, Kamal HA, Kanjilal S, Kyelem D, Lizardo J, Maleceda M, Mubyazi G, Nitièma PA, Ramzy RM, Streit TG, Wallace A, Brady MA, Rheingans R, Ottesen EA, Haddix AC, 2007. National mass drug administration costs for lymphatic filariasis elimination. PLoS Negl Trop Dis 1: e67.[Crossref]
    [Google Scholar]
  8. de Rochars MB, Kanjilal S, Direny AN, Radday J, Lafontant JG, Mathieu E, Rheingans RD, Haddix AC, Streit TG, Beach MJ, Addiss DG, Lammie PJ, 2005. The Leogane, Haiti demonstration project: decreased microfilaremia and program costs after three years of mass drug administration. Am J Trop Med Hyg 73: 888894.
    [Google Scholar]
  9. A Generic Protocol for Analyzing the Costs of Mass Drug Administration Programs for the Elimination of Lymphatic Filariasis, 2003. Decatur, GA: Lymphatic Filariasis Support Center.
    [Google Scholar]
  10. McFarland DA, Hooper PJ, 2008. Protocol for Data Collection of Costs in NTD Integration Projects. Atlanta, GA: Rollins School of Public Health of Emory University.
    [Google Scholar]
  11. The World Bank, 2011. World Development Indicators: Inflation, GDP Deflator (Annual %). Available at: http://data.worldbank.org/indicator/NY.GDP.DEFL.KD.ZG. Accessed May 20, 2011.
    [Google Scholar]

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  • Received : 09 Nov 2010
  • Accepted : 06 Jul 2011
  • Published online : 01 Nov 2011

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