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Modeling the Cost-Effectiveness of the Integrated Disease Surveillance and Response (IDSR) System: Meningitis in Burkina Faso

Author

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  • Zana C Somda
  • Helen N Perry
  • Nancy R Messonnier
  • Mamadou H Djingarey
  • Salimata Ouedraogo Ki
  • Martin I Meltzer

Abstract

Background: Effective surveillance for infectious diseases is an essential component of public health. There are few studies estimating the cost-effectiveness of starting or improving disease surveillance. We present a cost-effectiveness analysis the Integrated Disease Surveillance and Response (IDSR) strategy in Africa. Methodology/Principal Findings: To assess the impact of the IDSR in Africa, we used pre- and post- IDSR meningococcal meningitis surveillance data from Burkina Faso (1996–2002 and 2003–2007). IDSR implementation was correlated with a median reduction of 2 weeks to peak of outbreaks (25th percentile 1 week; 75th percentile 4 weeks). IDSR was also correlated with a reduction of 43 meningitis cases per 100,000 (25th–40: 75th-129). Assuming the correlations between reductions in time to peak of outbreaks and cases are related, the cost-effectiveness of IDSR was $23 per case averted (25th-$30; 75th - cost saving), and $98 per meningitis-related death averted (25th-$140: 75th – cost saving). Conclusions/Significance: We cannot absolutely claim that the measured differences were due to IDSR. We believe, however, that it is reasonable to claim that IDSR can improve the cost-effectiveness of public health surveillance.

Suggested Citation

  • Zana C Somda & Helen N Perry & Nancy R Messonnier & Mamadou H Djingarey & Salimata Ouedraogo Ki & Martin I Meltzer, 2010. "Modeling the Cost-Effectiveness of the Integrated Disease Surveillance and Response (IDSR) System: Meningitis in Burkina Faso," PLOS ONE, Public Library of Science, vol. 5(9), pages 1-10, September.
    • Handle: RePEc:plo:pone00:0013044
    DOI: 10.1371/journal.pone.0013044
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