การวิเคราะห์เปรียบเทียบต้นทุน - ประสิทธิผลของการเฝ้าระวังโรคไข้มาลาเรียเชิงรุก ด้วยวิธีการใช้ชุดน้ำยาสำเร็จรูปและฟิล์มโลหิตชนิดหนา ศูนย์ควบคุมโรคติดต่อนำโดยแมลงที่ 18 แม่สอด ปี 2545 / ยุทธพงศ์ หมื่นราษฎร์ = A comparison of cost-effectiveness between dipstick and thick blood film for malarial active surveillance of vector borne disease control center no.18 Mae Sot 2002 / Yuthapong Muernrat
The purposes of this study was to calculate cost, effectiveness and analyze cost effectiveness of dipstick and thick blood film method in utilization for malarial active surveillance at Vector Borne Disease Control Center No. 18 Mae Sot fiscal year 2002. Data were collected from local agency by retrospective surveys. The cost center was classified into two categories : Transient Cost Center and Absorbing Cost Center 1 which allocated by Direct Distribution Method and step - Down Method. The study revealed that full cost of malarial active surveillance by dipstick and thick blood film was 2,771,784.77 and 2,226,032.57 Bahts, of which 87.75 % and 84.26 % were the direct cost respectively. The unit cost of all (negative and positive) sample for dipstick and thick blood film was 304.12 and 244.24 Bahts, and those unit cost of positive - only sample were 1,475.92 and 816.89 Bahts for dipstick and thick blood film methods respectively. In the other words, the cost - effectiveness analysis for dipstick and thick blood film were 1,475.92 and 816.89 Bahts of malarial active surveillance respectively. For the sensitivity analysis of cost - effectiveness showed that thick blood film method had higher efficiency than dipstick method despite any prevalence of malarial infection. However, when the prevalence increaes, the efficiencies going to equal. These findings have potential utilization by public health administrators in the planning and resources allocation for the most effective malarial active surveillance program.
