Cost-Effectiveness of adding Tuberculosis Active Case Finding on Passive Case Screening Approach in Dire Dawa Town

dc.contributor.advisorHailemariam, Damen (Professor)
dc.contributor.authorWorkenh, Arsema
dc.date.accessioned2018-11-23T11:11:01Z
dc.date.accessioned2023-11-05T14:56:59Z
dc.date.available2018-11-23T11:11:01Z
dc.date.available2023-11-05T14:56:59Z
dc.date.issued2018-11
dc.description.abstractIntroduction: The standard passive case finding (PCF) strategy is inadequate in detecting all TB cases. Active case finding (ACF) was suggested to be effective alternative, but empirical evidence of its cost-effectiveness is sparse. Prevention and control of tuberculosis (TB) is one of the components in the health extension package (HEP)and follow-up of contact tracing in tuberculosis (TB) burden areas, such as Dire Dawa is beneficial in improving smear-positive tuberculosis (TB)case detection the presence of those Health Extension workers in each community. This study evaluated the cost effectiveness of community active case finding compared to passive case finding in Dire Dawa town. Objective: The objective of this study is to compare cost effectiveness of active and passive case finding for tuberculosis in Dire Dawa Town. Methods: A Cross sectional study design was used and the economic cost was performed from provider perspective. The costing was based on bottom up costing method and intermediate outcome of number of TB case found by each interventions was used as an effectiveness. Decision tree model was structured and constructed to compare the cost effectiveness of Active case finding with a passive case finding and Incremental cost effectiveness ratio(ICER) of the least cost effective strategy was reported. One-way sensitivity analysis using tornado diagram was performed on costs and probabilities. Results: The cost effectiveness study showed that incremental cost effectiveness ratio (ICER) of active case finding compared with passive one was found to be $536.6 per positive TB case. Based on the Gross Domestic Product (GDP) rule as per the recommendation of World Health Organization (WHO) which was used to recommend cost effectiveness intervention showed that the 2017 GDP per capita estimate of Ethiopia to be $873, and in this case active case finding is the cost-effective intervention. Conclusion: Active case finding is optimal intervention to identify more number of positive TB case finding with less cost than the passive case finding. Therefore, I strongly suggest the use of ACF to improve the health of the community and to reduce economic burden incurred due to tuberculosis.en_US
dc.identifier.urihttp://etd.aau.edu.et/handle/123456789/14445
dc.language.isoen_USen_US
dc.publisherAddis Ababa Universtyen_US
dc.subjectcost effectiveness analysis, active case finding, passive case findingen_US
dc.titleCost-Effectiveness of adding Tuberculosis Active Case Finding on Passive Case Screening Approach in Dire Dawa Townen_US
dc.typeThesisen_US

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