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Cost-effectiveness of screening methods for urinary schistosomiasis in a school-based control programme in Ibadan, Nigeria

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  • Fatiregun, Akinola Ayoola
  • Osungbade, Kayode O.
  • Olumide, Aderonke E.

Abstract

Objective To carry out a comparative cost-effectiveness analysis of screening methods for urinary schistosomiasis; terminal haematuria, unqualified haematuria, dysuria, visual urine examination and chemical reagent strip technique, in a school-based control programme.Design Estimation of costs and determination of cost-effect ratios of the screening methods applied in a school-based screening and treatment programme, from the perspective of a programme manager.Setting A junior secondary school in Ibadan, Nigeria.Main outcome measures Cost per number of cases correctly diagnosed.Results Unqualified haematuria was found to be the most cost-effective method costing N51.06 (US$ 2.16) to diagnose a case correctly, followed by terminal haematuria N58.91 (US$ 2.50) and dysuria N84.24 (US$ 3.57). Despite the relatively high input costs of chemical reagent strip technique over visual urine examination (N22.12 (US$ 0.94) per student vs. N6.44 (US$ 0.27) per student), it was found to be more cost effective costing N304.56 (US$ 12.91) to diagnose a case correctly than visual examination of urine cost of N317.58 (US$ 13.46) per correct case diagnosed.Conclusion From the viewpoint of a programme manager, interview method of screening by asking for blood in the urine remains the most efficient means of screening for urinary schistosomiasis in school-based control programmes in our environment.

Suggested Citation

  • Fatiregun, Akinola Ayoola & Osungbade, Kayode O. & Olumide, Aderonke E., 2009. "Cost-effectiveness of screening methods for urinary schistosomiasis in a school-based control programme in Ibadan, Nigeria," Health Policy, Elsevier, vol. 89(1), pages 72-77, January.
    • Handle: RePEc:eee:hepoli:v:89:y:2009:i:1:p:72-77
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    Cited by:

    1. Charles H King & David Bertsch, 2013. "Meta-analysis of Urine Heme Dipstick Diagnosis of Schistosoma haematobium Infection, Including Low-Prevalence and Previously-Treated Populations," PLOS Neglected Tropical Diseases, Public Library of Science, vol. 7(9), pages 1-14, September.
    2. Paul Gavaza & Karen Rascati & Abiola Oladapo & Star Khoza, 2010. "The State of Health Economic Evaluation Research in Nigeria," PharmacoEconomics, Springer, vol. 28(7), pages 539-553, July.

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