The cost of public health interventions to respond to the 10th Ebola outbreak in the Democratic Republic of the Congo

被引：4

作者：

Zeng, Wu ^{[1
]}

Samaha, Hadia ^{[2
]}

Yao, Michel ^{[3
]}

Ahuka-Mundeke, Steve ^{[4
]}

Wilkinson, Thomas ^{[2
]}

Jombart, Thibaut ^{[5
]}

Baabo, Dominique ^{[6
]}

Lokonga, Jean-Pierre ^{[6
]}

Yuma, Sylvain ^{[7
]}

Mobula-Shufelt, Linda ^{[2
]}

机构：

[1] Georgetown Univ, Dept Global Hlth, Washington, DC 20057 USA

[2] World Bank Grp, Washington, DC USA

[3] WHO, Geneva, Switzerland

[4] Natl Inst Biomed Res, Kinshasa, Rep Congo

[5] Imperial Coll London, MRC Ctr Global Infect Dis Anal, Sch Publ Hlth, Dept Infect Dis Epidemiol, London, England

[6] Minist Publ Hlth Hyg & Prevent, Project Implementat Unit World Bank Hlth Projects, Kinshasa, Rep Congo

[7] Minist Publ Hlth Hyg & Prevent, Kinshasa, Rep Congo

来源：

BMJ GLOBAL HEALTH | 2023年 / 8卷 / 10期

关键词：

Health economics; Health policy; VIRUS DISEASE OUTBREAK; COVID-19; VACCINATION; EPIDEMIC;

D O I：

10.1136/bmjgh-2023-012660

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

The 10th Ebola virus disease (EVD) outbreak in the Democratic Republic of the Congo (DRC) drew substantial attention from the international community, which in turn invested more than US$1 billion in EVD control over two years (2018-2020). This is the first EVD outbreak to take place in a conflict area, which led to a shift in strategy from a pure public health response (PHR) to a multisectoral humanitarian response. A wide range of disease control and mitigation activities were implemented and were outlined in the five budgeted Strategic Response Plans used throughout the 26 months. This study used the budget/expenditure and output indicators for disease control and mitigation interventions compiled by the government of DRC and development and humanitarian partners to estimate unit costs of key Ebola control interventions. Of all the investment in EVD control, 68% was spent on PHR. The remaining 32% covered security, community support interventions for the PHR. The disbursement for the public health pillar was distributed as follows: (1) coordination (18.8%), (2), clinical management of EVD cases (18.4%), (3) surveillance and vaccination (15.9%), (4) infection prevention and control/WASH (13.8%) and (5) risk communication (13.7%). The unit costs of key EVD control interventions were as follows: US$66 182 for maintaining a rapid response team per month, US$4435 for contact tracing and surveillance per identified EVD case, US$1464 for EVD treatment per case, US$59.4 per EVD laboratory test, US$120.7 per vaccinated individual against EVD and US$175.0 for mental health and psychosocial support per beneficiary. The estimated unit costs of key EVD disease control interventions provide crucial information for future infectious disease control planning and budgeting, as well as prioritisation of disease control interventions.

引用

页数：10