• 1

    Pai HH, Hong YJ, Hsu EL, 2006. Impact of a short-term community-based cleanliness campaign on the sources of dengue vectors: an entomological and human behavior study. J Environ Health 68 :35–39.

    • Search Google Scholar
    • Export Citation
  • 2

    Toledo ME, Baly A, Ceballos E, Boelaert M, Van der Stuyft P, 2006. Participación comunitaria en la prevención del dengue: un abordaje desde la perspectiva de los diferentes actores sociales. Rev Salud Públ Mex 48 :1–6.

    • Search Google Scholar
    • Export Citation
  • 3

    Parks WJ, Lloyd LS, Nathan MB, Hosein E, Odugleh A, Clark GG, Gluber DJ, 2005. International experiences in social mobilization and communication for dengue prevention and control. Dengue Bull 28 (Suppl):1–7.

    • Search Google Scholar
    • Export Citation
  • 4

    Renganathan E, Parks W, Lloyd L, Nathan MB, Hosein E, Odugleh A, Clark GG, Gubler DJ, Prasittisuk C, Palmer K, San Martin JL, 2003. Towards sustaining behavioural impact in dengue prevention and control. Dengue Bull 27 :6–12.

    • Search Google Scholar
    • Export Citation
  • 5

    Kay BH, Nam VS, Tien TV, Yen NT, Phong TV, Diep VT, Ninh TU, Bektas A, Aaskov JG, 2002. Control of Aedes vectors of dengue in three provinces of Vietnam by use of Mesocyclops (Copepoda) and community-based methods validated by entomologic, clinical, and serological surveillance. Am J Trop Med Hyg 66 :40–48.

    • Search Google Scholar
    • Export Citation
  • 6

    Winch PJ, Leontsini E, Rigau-Perez JG, Ruiz-Perez M, Clark GG, Gubler DJ, 2002. Community-based dengue prevention programs in Puerto Rico: impact on knowledge, behavior, and residential mosquito infestation. Am J Trop Med Hyg 67 :363–370.

    • Search Google Scholar
    • Export Citation
  • 7

    Chiaravalloti NF, de Moraes MS, Fernandes MA, 1998. Results of activities encouraging community participation in dengue control in an outlying neighborhood of Sao Jose do Rio Preto, Sao Paulo, and the relationship between the population’s knowledge and habits. Cad Saude Publica 14 (Suppl 2):101–109.

    • Search Google Scholar
    • Export Citation
  • 8

    Gubler DJ, Clark GG, 1996. Community involvement in the control of Aedes aegypti.Acta Trop 61 :169–179.

  • 9

    Lloyd LS, Winch P, Ortega-Canto J, Kendall C, 1992. Results of a community-based Aedes aegypti control program in Merida, Yucatan, Mexico. Am J Trop Med Hyg 46 :635–642.

    • Search Google Scholar
    • Export Citation
  • 10

    Heintze C, Garrido MV, Kroeger A, 2007. What do community-based dengue control programmes achieve? A systematic review of published evaluations. Trans R Soc Trop Med Hyg 101 :317–325.

    • Search Google Scholar
    • Export Citation
  • 11

    Valdes L, Guzman MG, Kouri G, Delgado J, Carbonell I, Cabrera MV, Rosario D, Vazquez S, 1999. Epidemiology of dengue and hemorrhagic dengue in Santiago, Cuba 1997. Rev Panam Salud Publica 6 :16–25.

    • Search Google Scholar
    • Export Citation
  • 12

    Pelaez O, Guzman MG, Kouri G, Perez R, San Martin JL, Vazquez S, Rosario D, Mora R, Quintana I, Bisset J, Cancio R, Masa AM, Castro O, Gonzalez D, Avila LC, Rodriguez R, Alvarez M, Pelegrino JL, Bernardo L, Prado I, 2004. Dengue 3 epidemic, Havana, 2001. Emerg Infect Dis 10 :719–722.

    • Search Google Scholar
    • Export Citation
  • 13

    Sanchez L, Perez D, Perez T, Sosa T, Cruz G, Kouri G, Boelaert M, Van der Stuyft P, 2005. Intersectoral coordination in Aedes aegypti control. A pilot project in Havana City, Cuba. Trop Med Int Health 10 :82–91.

    • Search Google Scholar
    • Export Citation
  • 14

    Toledo Romani ME, Vanlerberghe V, Perez D, Lefevre P, Ceballos E, Bandera D, Baly Gil A, Van der Stuyft P, 2007. Achieving sustainability of community-based dengue control in Santigo de Cuba. Soc Sci Med 64 :976–988.

    • Search Google Scholar
    • Export Citation
  • 15

    Toledo ME, Vanlerberghe V, Baly A, Ceballos E, Valdes L, Searret M, Boelaert M, Van der Stuyft P, 2007. Towards active community participation in dengue vector control: results from action research in Santiago de Cuba. Trans R Soc Trop Med Hyg 101 :56–63.

    • Search Google Scholar
    • Export Citation
  • 16

    Baly A, Toledo ME, Boelaert M, Reyes A, Vanlerberghe V, Ceballos E, Carvajal M, Maso R, La Rosa M, Denis O, Van der Stuyft P, 2007. Cost effectiveness of Aedes aegypti control programmes: participatory versus vertical. Trans R Soc Trop Med Hyg 101 :578–586.

    • Search Google Scholar
    • Export Citation
  • 17

    Johns B, Baltussen R, Hutubessy R, 2003. Programme costs in the economic evaluation of health interventions. Cost Eff Resour Alloc 1 :1.

  • 18

    Naciones Unidas-CEPAL, 2004. Cuba: evolución económica durante 2003 y perspectivas para 2004. Naciones Unidas-CEPAL 15 :2004.

  • 19

    Riera P, 2004. Manual de valoración contingente. Available at: http://seleneuabes/prieram/manualhtm. Accessed March 2004.

  • 20

    Guzman MG, Pelaez O, Kouri G, Quintana I, Vazquez S, Penton M, Avila LC, 2006. Final characterization of and lessons learned from the dengue 3 epidemic in Cuba, 2001–2002. Rev Panam Salud Publica 19 :282–289.

    • Search Google Scholar
    • Export Citation
  • 21

    Reiter P, Gubler DJ, 1997. Surveillance and control of urban dengue vectors. Gubler DJ, Kuno G, eds. Dengue and Dengue Hemorrhagic Fever. London: CAB International. 425–463.

  • 22

    Focks DA, Brenner RJ, Hayes J, Daniels E, 2000. Transmission thresholds for dengue in terms of Aedes aegypti pupae per person with discussion of their utility in source reduction efforts. Am J Trop Med Hyg 62 :11–18.

    • Search Google Scholar
    • Export Citation
  • 23

    Sanchez L, Vanlerberghe V, Alfonso L, Marquetti MD, Guzman MG, Bisset J, Van der Stuyft P, 2006. Aedes aegypti larval indices and risk for dengue epidemics. Emerg Infect Dis 12 :800–806.

    • Search Google Scholar
    • Export Citation
  • 24

    Armien B, Suaya JA, Quiroz E, Sah BK, Bayard V, Marchena L, Campos C, Shepard DS, 2008. Clinical characteristics and national economic cost of the 2005 dengue epidemic in Panama. Am J Trop Med Hyg 79 :364–371.

    • Search Google Scholar
    • Export Citation
  • 25

    Suaya JA, Shepard DS, Chang MS, Caram M, Hoyer S, Socheat D, Chantha N, Nathan MB, 2007. Cost-effectiveness of annual targeted larviciding campaigns in Cambodia against the dengue vector Aedes aegypti.Trop Med Int Health 12 :1026–1036.

    • Search Google Scholar
    • Export Citation
  • 26

    Jensen ER, 1991. Cost-Effectiveness and Financial Sustainability in Family Planning Operation Research. Operation Research: Helping Family Planning Work Better. New York: Wiley-Liss.

  • 27

    Wiesemann A, Mueller-Buehl U, Scheidt R, Boehme W, Scheuermann W, 2004. Patient willingness to pay for preventive measures in primary care: a study of five GPs in a German community. Soz Praventivmed 49 :254–260.

    • Search Google Scholar
    • Export Citation
  • 28

    Bossert TJ, 1990. Can they get along without us? Sustainability of donor-supported health projects in Central America and Africa. Soc Sci Med 30 :1015–1023.

    • Search Google Scholar
    • Export Citation
  • 29

    Shediac-Rizkallah MC, Bone LR, 1998. Planning for the sustainability of community-based health programs: conceptual frameworks and future directions for research, practice and policy. Health Educ Res 13 :87–108.

    • Search Google Scholar
    • Export Citation
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 

 

 

 

Cost-Effectiveness of a Community-Based Approach Intertwined with a Vertical Aedes Control Program

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  • 1 Instituto de Medicina Tropical “Pedro Kourí,” Department of Epidemiology, La Habana, Cuba; Institute of Tropical Medicine, Epidemiology and Disease Control Unit, Department of Public Health, Antwerp, Belgium; Provincial Unit of Surveillance and Vector Control, Santiago de Cuba, Cuba; Instituto de Medicina Tropical “Pedro Kourí,” Department of Economics, La Habana, Cuba

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.

Author Notes

Reprint requests: Alberto Baly Gil, Instituto de Medicina Tropical “Pedro Kourí,” Subdireccion de Epidemiologia, Autopista Novia del Mediodia, Km 6½ La Lisa, Ciudad de La Habana, Cuba, Tel: 0053-7-2020652, E-mails: baly@ipk.sld.cu or balygil@yahoo.com.
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