A cost-effectiveness tool to guide the prioritization of interventions for rheumatic fever and rheumatic heart disease control in African nations

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dc.contributor.authorWatkins, Daviden_ZA
dc.contributor.authorLubinga, Solomon Jen_ZA
dc.contributor.authorMayosi, Bonganien_ZA
dc.contributor.authorBabigumira, Joseph Ben_ZA
dc.date.accessioned2016-10-31T07:43:10Z
dc.date.available2016-10-31T07:43:10Z
dc.date.issued2016en_ZA
dc.description.abstractAuthor Summary: Rheumatic heart disease is a major cause of cardiovascular morbidity and mortality in Africa. Although there are effective medications and surgical procedures for rheumatic heart disease, they are under-used. What is more, these interventions can be expensive--even if they are feasible and effective. Unfortunately, there are currently very few economic studies on rheumatic heart disease, leaving ministries of health with little guidance on how to choose among various interventions and allocate resources to control programs. Our study describes the methods and data we used to develop a cost-effectiveness analysis tool that was intended specifically for decision-making in African countries. In our study, we also illustrate, in a hypothetical low-income African country, how the tool could be used. In our illustrative example, a prevention-oriented approach would save money in the long term, although other interventions could be cost-effective and feasible if enough financial resources were present. These findings contrast with previous studies and make a strong case that rheumatic heart disease prevention could be a high-priority intervention in Africa. We are making our tool publicly available and anticipate that ministries of health will use it as they develop or expand their rheumatic heart disease control programs.en_ZA
dc.identifier.apacitationWatkins, D., Lubinga, S. J., Mayosi, B., & Babigumira, J. B. (2016). A cost-effectiveness tool to guide the prioritization of interventions for rheumatic fever and rheumatic heart disease control in African nations. <i>PLOS Neglected Tropical Diseases</i>, http://hdl.handle.net/11427/22374en_ZA
dc.identifier.chicagocitationWatkins, David, Solomon J Lubinga, Bongani Mayosi, and Joseph B Babigumira "A cost-effectiveness tool to guide the prioritization of interventions for rheumatic fever and rheumatic heart disease control in African nations." <i>PLOS Neglected Tropical Diseases</i> (2016) http://hdl.handle.net/11427/22374en_ZA
dc.identifier.citationWatkins, D., Lubinga, S. J., Mayosi, B., & Babigumira, J. B. (2016). A cost-effectiveness tool to guide the prioritization of interventions for rheumatic fever and rheumatic heart disease control in African nations. PLoS Negl Trop Dis, 10(8), e0004860. doi:10.1371/journal.pntd.0004860en_ZA
dc.identifier.ris TY - Journal Article AU - Watkins, David AU - Lubinga, Solomon J AU - Mayosi, Bongani AU - Babigumira, Joseph B AB - Author Summary: Rheumatic heart disease is a major cause of cardiovascular morbidity and mortality in Africa. Although there are effective medications and surgical procedures for rheumatic heart disease, they are under-used. What is more, these interventions can be expensive--even if they are feasible and effective. Unfortunately, there are currently very few economic studies on rheumatic heart disease, leaving ministries of health with little guidance on how to choose among various interventions and allocate resources to control programs. Our study describes the methods and data we used to develop a cost-effectiveness analysis tool that was intended specifically for decision-making in African countries. In our study, we also illustrate, in a hypothetical low-income African country, how the tool could be used. In our illustrative example, a prevention-oriented approach would save money in the long term, although other interventions could be cost-effective and feasible if enough financial resources were present. These findings contrast with previous studies and make a strong case that rheumatic heart disease prevention could be a high-priority intervention in Africa. We are making our tool publicly available and anticipate that ministries of health will use it as they develop or expand their rheumatic heart disease control programs. DA - 2016 DB - OpenUCT DO - 10.1371/journal.pntd.0004860 DP - University of Cape Town J1 - PLOS Neglected Tropical Diseases LK - https://open.uct.ac.za PB - University of Cape Town PY - 2016 T1 - A cost-effectiveness tool to guide the prioritization of interventions for rheumatic fever and rheumatic heart disease control in African nations TI - A cost-effectiveness tool to guide the prioritization of interventions for rheumatic fever and rheumatic heart disease control in African nations UR - http://hdl.handle.net/11427/22374 ER - en_ZA
dc.identifier.urihttp://dx.doi.org/10.1371/journal.pntd.0004860en_ZA
dc.identifier.urihttp://hdl.handle.net/11427/22374
dc.identifier.vancouvercitationWatkins D, Lubinga SJ, Mayosi B, Babigumira JB. A cost-effectiveness tool to guide the prioritization of interventions for rheumatic fever and rheumatic heart disease control in African nations. PLOS Neglected Tropical Diseases. 2016; http://hdl.handle.net/11427/22374.en_ZA
dc.language.isoengen_ZA
dc.publisherPublic Library of Scienceen_ZA
dc.publisher.departmentDepartment of Medicineen_ZA
dc.publisher.facultyFaculty of Health Sciencesen_ZA
dc.publisher.institutionUniversity of Cape Town
dc.rightsThis is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.en_ZA
dc.rights.holder© 2016 Watkins et alen_ZA
dc.rights.urihttp://creativecommons.org/licenses/by/4.0en_ZA
dc.sourcePLOS Neglected Tropical Diseasesen_ZA
dc.source.urihttp://journals.plos.org/plosntdsen_ZA
dc.subject.otherCardiovascular diseasesen_ZA
dc.subject.otherCost-effectiveness analysisen_ZA
dc.subject.otherSurgical and invasive medical proceduresen_ZA
dc.subject.otherHealth Economicsen_ZA
dc.subject.otherGlobal healthen_ZA
dc.subject.otherAfricaen_ZA
dc.subject.otherEconomic analysisen_ZA
dc.subject.otherDeath ratesen_ZA
dc.titleA cost-effectiveness tool to guide the prioritization of interventions for rheumatic fever and rheumatic heart disease control in African nationsen_ZA
dc.typeJournal Articleen_ZA
uct.type.filetypeText
uct.type.filetypeImage
uct.type.publicationResearchen_ZA
uct.type.resourceArticleen_ZA
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