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Costs Analysis of a Population Level Rabies Control Programme in Tamil Nadu, India

The study aimed to determine costs to the state government of implementing different interventions for controlling rabies among the entire human and animal populations of Tamil Nadu. This built upon an earlier assessment of Tamil Nadu's efforts to control rabies. Anti-rabies vaccines were made...

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Autores principales: Abbas, Syed Shahid, Kakkar, Manish, Rogawski, Elizabeth Tacket
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2014
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3937306/
https://www.ncbi.nlm.nih.gov/pubmed/24587471
http://dx.doi.org/10.1371/journal.pntd.0002721
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author Abbas, Syed Shahid
Kakkar, Manish
Rogawski, Elizabeth Tacket
author_facet Abbas, Syed Shahid
Kakkar, Manish
Rogawski, Elizabeth Tacket
author_sort Abbas, Syed Shahid
collection PubMed
description The study aimed to determine costs to the state government of implementing different interventions for controlling rabies among the entire human and animal populations of Tamil Nadu. This built upon an earlier assessment of Tamil Nadu's efforts to control rabies. Anti-rabies vaccines were made available at all health facilities. Costs were estimated for five different combinations of animal and human interventions using an activity-based costing approach from the provider perspective. Disease and population data were sourced from the state surveillance data, human census and livestock census. Program costs were extrapolated from official documents. All capital costs were depreciated to estimate annualized costs. All costs were inflated to 2012 Rupees. Sensitivity analysis was conducted across all major cost centres to assess their relative impact on program costs. It was found that the annual costs of providing Anti-rabies vaccine alone and in combination with Immunoglobulins was $0.7 million (Rs 36 million) and $2.2 million (Rs 119 million), respectively. For animal sector interventions, the annualised costs of rolling out surgical sterilisation-immunization, injectable immunization and oral immunizations were estimated to be $ 44 million (Rs 2,350 million), $23 million (Rs 1,230 million) and $ 11 million (Rs 590 million), respectively. Dog bite incidence, health systems coverage and cost of rabies biologicals were found to be important drivers of costs for human interventions. For the animal sector interventions, the size of dog catching team, dog population and vaccine costs were found to be driving the costs. Rabies control in Tamil Nadu seems a costly proposition the way it is currently structured. Policy makers in Tamil Nadu and other similar settings should consider the long-term financial sustainability before embarking upon a state or nation-wide rabies control programme.
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spelling pubmed-39373062014-03-04 Costs Analysis of a Population Level Rabies Control Programme in Tamil Nadu, India Abbas, Syed Shahid Kakkar, Manish Rogawski, Elizabeth Tacket PLoS Negl Trop Dis Research Article The study aimed to determine costs to the state government of implementing different interventions for controlling rabies among the entire human and animal populations of Tamil Nadu. This built upon an earlier assessment of Tamil Nadu's efforts to control rabies. Anti-rabies vaccines were made available at all health facilities. Costs were estimated for five different combinations of animal and human interventions using an activity-based costing approach from the provider perspective. Disease and population data were sourced from the state surveillance data, human census and livestock census. Program costs were extrapolated from official documents. All capital costs were depreciated to estimate annualized costs. All costs were inflated to 2012 Rupees. Sensitivity analysis was conducted across all major cost centres to assess their relative impact on program costs. It was found that the annual costs of providing Anti-rabies vaccine alone and in combination with Immunoglobulins was $0.7 million (Rs 36 million) and $2.2 million (Rs 119 million), respectively. For animal sector interventions, the annualised costs of rolling out surgical sterilisation-immunization, injectable immunization and oral immunizations were estimated to be $ 44 million (Rs 2,350 million), $23 million (Rs 1,230 million) and $ 11 million (Rs 590 million), respectively. Dog bite incidence, health systems coverage and cost of rabies biologicals were found to be important drivers of costs for human interventions. For the animal sector interventions, the size of dog catching team, dog population and vaccine costs were found to be driving the costs. Rabies control in Tamil Nadu seems a costly proposition the way it is currently structured. Policy makers in Tamil Nadu and other similar settings should consider the long-term financial sustainability before embarking upon a state or nation-wide rabies control programme. Public Library of Science 2014-02-27 /pmc/articles/PMC3937306/ /pubmed/24587471 http://dx.doi.org/10.1371/journal.pntd.0002721 Text en © 2014 Abbas et al http://creativecommons.org/licenses/by/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are properly credited.
spellingShingle Research Article
Abbas, Syed Shahid
Kakkar, Manish
Rogawski, Elizabeth Tacket
Costs Analysis of a Population Level Rabies Control Programme in Tamil Nadu, India
title Costs Analysis of a Population Level Rabies Control Programme in Tamil Nadu, India
title_full Costs Analysis of a Population Level Rabies Control Programme in Tamil Nadu, India
title_fullStr Costs Analysis of a Population Level Rabies Control Programme in Tamil Nadu, India
title_full_unstemmed Costs Analysis of a Population Level Rabies Control Programme in Tamil Nadu, India
title_short Costs Analysis of a Population Level Rabies Control Programme in Tamil Nadu, India
title_sort costs analysis of a population level rabies control programme in tamil nadu, india
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3937306/
https://www.ncbi.nlm.nih.gov/pubmed/24587471
http://dx.doi.org/10.1371/journal.pntd.0002721
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