Le coût du Paludisme

Ateliere Paludisme 2004 vendredi 26.03.04

Le coût du Paludisme

Mme. Sèm Rithy

<[email protected]>


Plan

1- Le coût de la lutte antipaludique

2- Le coût de la maladie « paludisme »

3- Relation entre malaria développementet malaria pauvreté.


IntroductionApproximately 300 million people worldwide are affected by malaria and between 1 and 1.5 million people die from it every year. The malaria is now mainly confined to Africa, Asia and Latin America. The problems of controlling malaria in these countries are aggravated by inadequate health structures and poor socioeconomic conditions. It accounts for 2.6 percent of the total disease burden of the world.

*Reference: www-micromsb.le.ac.uk/224/Malaria.html



1.1- Sector of activities

1.1.1- Management & Supervision1.1.2- Prevention1.1.3- Case management1.1.4- Monitoring & Evaluation1.1.5- Training1.1.6- I.E.C.1.1.7- Research

- fundamental and operational- public and private


Research

Estimated annual expenditure on malaria research, prevention and treatment $ 84 million.

Estimated worldwide expenditure on malaria research $ 58 million, one thousandth of the $ 56 billion spent globally on health research annually.

*Reference: www.malariasite.com/malaria/WhatIsMalaria.htm



1.2- Items of disbursement

1.2.1- Human resources- salaries, per diem, insurances

1.2.2- Infrastructures- building- renovation

1.2.2- Equipment and supply- slides, stain, drugs, insecticides- microscopes, bed nets- health center and hospital equipment- etc.

1.2.3- Transportation- cars, gasoline- motorbikes, bicycles, boats- etc.



1.3- Estimated costs

1.3.1- Examples in Africa

1.3.2- Examples in Asia (Cambodge)

1.3.3- Examples in South Africa

1.3.4- Worldwide


Data regarding Africa

It is estimated that a single case of malaria costs a sum equivalent to over 10 working days in Africa.

The cost of treatment is between $0.08 and $5.30 according to the type of drugs prescribed as determined by local drug resistance.

In 1987, the total "cost" of malaria health care, treatment, lost production, etc. was estimated to be $800 million for tropical Africa and this figure is currently estimated to be more than $1,800 million.

*Reference: www-micromsb.le.ac.uk/224/Malaria.html


Data regarding Cambodia

For most Cambodians, anti-malaria drugs are not cheap, said National Malaria Center Director The cost of a single malaria treatment is 3,000 riel (about $0.75), but if a patient's health doesn't improve due to an unfinished drug regime or low-quality pharmaceuticals, they could end up spending as much as 13,000 riel (about $3.29), Tsuyuoka said. A 2002 survey conducted by the WHO and the National Malaria Center showed that malaria global treatments can cost as much as $138, Tsuyuoka said.

*Reference: www.cambodia.net/malaria/15_5_03.htm


Data regarding South Africa

Malaria in selected Southern African countries could cost as much as $1,000 million, or 4% of GDP in 1998.

The incidence of malaria in these areas has severe economic impacts and as in the past, continues to hamper economic development

*Reference: www.malaria.org/tren.html


Worldwide data

Estimated worldwide expenditure per malaria fatality $ 65; as compared to $ 3274 for HIV/AIDS and $ 789 for asthma.

It is responsible for the loss of more than 35 million disability- adjusted life- years each year.



Total costEvery year ~ 30000 visitors to endemic areas develop malaria and 1% of them may die.

Estimated global annual cost in 1995 for malaria $ 2 billion .

It accounts for 2.6 percent of the total disease burden of the world



2- Le coût de la maladie« paludisme »

Obstacle to the development- Prosperity between countries with malaria and countries withoutmalariaObstacle to the economy : Difference in GDP between countries with malaria and without malaria- lower productivity- less tourism- foreign investment- economic networks within the countryImpact on the population- The people lower knowledgeCost on the health system- It account for 2.6% of the total disease burden of the world


3- Relation entre malaria développement et malaria pauvreté.

Malaria and development ?

Malaria and poverty ?

* www.malaria.org.zw/pubs/malpovretydev.pdf



Malaria and Poverty


MERCI BEAUCOUP

Health & Medicine

Le coût du Paludisme