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PANEL 1: IPC cost, health impact, and cost-effectiveness

PANEL 1: IPC cost, health impact, and cost-effectiveness. Integrated Prevention Campaigns: Evidence for Impact and Efficiency, Global Potential, and Sustainability. James G. Kahn, MD, MPH UCSF. Goal of analysis.

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PANEL 1: IPC cost, health impact, and cost-effectiveness

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  1. PANEL 1:IPC cost, health impact, and cost-effectiveness Integrated Prevention Campaigns: Evidence for Impact and Efficiency, Global Potential, and Sustainability James G. Kahn, MD, MPH UCSF

  2. Goal of analysis • Estimate the cost, health effects, and cost-effectiveness of a diarrhea, malaria and HIV IPC as implemented in Lurambi district, Western Kenya, September 2008.

  3. Methods: Sources Program costs: • Empirical for campaign as implemented, plus modeled “Scaled-Up Replication” (SUR) Health effects(deaths and DALYs averted): • Published trials and meta-analyses, and disease incidence modeling Costs of medical care incurred/averted: • Published studies and databases

  4. Results: Program Costs • As implemented: $42 • SUR: $32

  5. Results: Health Effects Deaths and DALYs averted by intervention component:

  6. Results: Costs Costs averted/(added) by intervention component:

  7. Results: Cost-effectiveness • Unadjusted campaign cost: $32,000 • Net cost (savings):($16,015) • Cost per DALY averted: Net savings

  8. Conclusion • A mass, rapidly implemented IPC for HIV, malaria and diarrhea in a Western Kenya setting provides substantial health benefits in terms of deaths and DALYs averted • The campaign also appears economically attractive (cost-saving).

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