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A Literature Review of Economic Evaluations for a Neglected Tropical Disease: Human African Trypanosomiasis (“Sleeping Sickness”)

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  • C Simone Sutherland
  • Joshua Yukich
  • Ron Goeree
  • Fabrizio Tediosi

Abstract

Human African trypanosomiasis (HAT) is a disease caused by infection with the parasite Trypanosoma brucei gambiense or T. b. rhodesiense. It is transmitted to humans via the tsetse fly. Approximately 70 million people worldwide were at risk of infection in 1995, and approximately 20,000 people across Africa are infected with HAT. The objective of this review was to identify existing economic evaluations in order to summarise cost-effective interventions to reduce, control, or eliminate the burden of HAT. The studies included in the review were compared and critically appraised in order to determine if there were existing standardised methods that could be used for economic evaluation of HAT interventions or if innovative methodological approaches are warranted. A search strategy was developed using keywords and was implemented in January 2014 in several databases. The search returned a total of 2,283 articles. After two levels of screening, a total of seven economic evaluations were included and underwent critical appraisal using the Scottish Intercollegiate Guidelines Network (SIGN) Methodology Checklist 6: Economic Evaluations. Results from the existing studies focused on the cost-effectiveness of interventions for the control and reduction of disease transmission. Modelling was a common method to forecast long-term results, and publications focused on interventions by category, such as case detection, diagnostics, drug treatments, and vector control. Most interventions were considered cost-effective based on the thresholds described; however, the current treatment, nifurtomix-eflornithine combination therapy (NECT), has not been evaluated for cost-effectiveness, and considerations for cost-effective strategies for elimination have yet to be completed. Overall, the current evidence highlights the main components that play a role in control; however, economic evaluations of HAT elimination strategies are needed to assist national decision makers, stakeholders, and key funders. These analyses would be of use, as HAT is currently being prioritized as a neglected tropical disease (NTD) to reach elimination by 2020.

Suggested Citation

  • C Simone Sutherland & Joshua Yukich & Ron Goeree & Fabrizio Tediosi, 2015. "A Literature Review of Economic Evaluations for a Neglected Tropical Disease: Human African Trypanosomiasis (“Sleeping Sickness”)," PLOS Neglected Tropical Diseases, Public Library of Science, vol. 9(2), pages 1-22, February.
    • Handle: RePEc:plo:pntd00:0003397
    DOI: 10.1371/journal.pntd.0003397
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    References listed on IDEAS

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    1. Palmer, Jennifer J. & Kelly, Ann H. & Surur, Elizeous I. & Checchi, Francesco & Jones, Caroline, 2014. "Changing landscapes, changing practice: Negotiating access to sleeping sickness services in a post-conflict society," Social Science & Medicine, Elsevier, vol. 120(C), pages 396-404.
    2. Francesco Checchi & François Chappuis & Unni Karunakara & Gerardo Priotto & Daniel Chandramohan, 2011. "Accuracy of Five Algorithms to Diagnose Gambiense Human African Trypanosomiasis," PLOS Neglected Tropical Diseases, Public Library of Science, vol. 5(7), pages 1-15, July.
    3. Andrew J. Stevens & Carole Longson, 2013. "At the Center of Health Care Policy Making," Medical Decision Making, , vol. 33(3), pages 320-324, April.
    4. Karl Claxton, 1999. "Bayesian approaches to the value of information: implications for the regulation of new pharmaceuticals," Health Economics, John Wiley & Sons, Ltd., vol. 8(3), pages 269-274, May.
    5. Drummond, Michael F. & Sculpher, Mark J. & Torrance, George W. & O'Brien, Bernie J. & Stoddart, Greg L., 2005. "Methods for the Economic Evaluation of Health Care Programmes," OUP Catalogue, Oxford University Press, edition 3, number 9780198529453.
    6. Kamuanga, Mulumba & Swallow, Brent M. & Sigue, Hamade & Bauer, Burkhard, 2001. "Evaluating contingent and actual contributions to a local public good: Tsetse control in the Yale agro-pastoral zone, Burkina Faso," Ecological Economics, Elsevier, vol. 39(1), pages 115-130, October.
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    1. Paul R Bessell & Crispin Lumbala & Pascal Lutumba & Sylvain Baloji & Sylvain Biéler & Joseph M Ndung'u, 2018. "Cost-effectiveness of using a rapid diagnostic test to screen for human African trypanosomiasis in the Democratic Republic of the Congo," PLOS ONE, Public Library of Science, vol. 13(9), pages 1-18, September.
    2. Rian Snijders & Alain Fukinsia & Yves Claeys & Alain Mpanya & Epco Hasker & Filip Meheus & Erick Miaka & Marleen Boelaert, 2020. "Cost of a new method of active screening for human African trypanosomiasis in the Democratic Republic of the Congo," PLOS Neglected Tropical Diseases, Public Library of Science, vol. 14(12), pages 1-13, December.

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