福建省消除疟疾不同阶段监测措施的成本效益分析

目的结合目前福建省疟疾消除阶段的实际监测防治现状,分析研究福建省消除疟疾3个阶段的成本效益。方法运用成本效益分析方法,分析2005-2018年福建省疟疾消除阶段前期、消除阶段后期和消除后阶段不同监测措施的效益成本比值(BCR)和经济净效益(NB)。结果福建省2005-2018年消除疟疾3个阶段年均成本投入分别为:消除阶段前期(2005-2009年)为6423.51万元(人员工资占93.05%),消除阶段后期(2010-2015年)1125.02万元(人员工资84.59%),消除后阶段(2016-2018年)1170.67万元(人员工资占66.02%,人员培训费占25.37%);NB分别为12.63亿元、20.77亿元和28.45亿元,BCR分别为20.7∶1、185.6∶1和244.0∶1,BCR和NB均是消除后阶段>消除阶段后期>消除阶段前期,说明消除后阶段监测措施在经济上最有利,其防治效果是最佳的。结论福建省疟疾防治工作14年来取得良好的经济和社会效益,疟疾消除后阶段按不同风险等级的疟疾防控管理、加强境外流动人口输入性疟疾防控的监测措施,在经济上有利,防治效果最好。应继续加强疟疾的输入性病例监测管理机制建设,巩固消除疟疾成果。

Cost-benefit analysis of monitoring measures for eliminating malaria at different stages in Fujian

Objective Combined with the current status of actual monitoring and control of malaria elimination in Fujian Province, to analyze the cost-benefit of the three stages of malaria elimination in Fujian Province. Methods The cost-benefit ratio (BCR) and economic net benefit (NB) of different monitoring measures in the early stage of the malaria elimination phase, the elimination phase and the post-elimination phase of Fujian Province from 2005 to 2018 were analyzed by cost-benefit methods. Results The average annual cost inputs in the three stages of malaria elimination in Fujian Province from 2005 to 2018 were 64 235 144.8 yuan (93.05% of the staff salary) in the early stage of the elimination phase (2005-2009), 11 250 248.0 yuan (personal salary 84.59%) in the late stage of elimination (2010-2015), 11 706 679.9 yuan (personnel salary accounted for 66.02% of the total cost, personnel training expenses accounted for 25.37%) in the post-elimination phase (2016-2018), respectively. NB were 1 263 275 369.2 yuan, 2 076 591 144.8 yuan, and 2 844 624 640.5 yuan, respectively. BCR were 20.7∶1, 185.6∶1 and 244.0∶1, respectively. The results indicated that the cost had the order: the post-elimination phase > the later phase of the elimination phase > the early phase of the elimination phase. It seems that the post-elimination monitoring measures are economically most advantageous, and the control effect is the best. Conclusion In the past 14 years, malaria prevention and control work have achieved good economic and social benefits in Fujian Province. Malaria prevention and control management according to different risk levels, strengthening the prevention and control of imported malaria in overseas migrants, the monitoring measures in the post-malaria elimination phase are economically beneficial and have the best control effect. The construction of an imported case monitoring management mechanism for malaria should continue to be strengthened to consolidate the elimination of malaria.