Éric Tchouaket, D. Sia, H. Karemere, Woolf Kapiteni, Stéphanie Robins
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引用次数: 0
Abstract
INTRODUCTION
Due to the Democratic Republic of the Congo’s (DRC) precarious health system that provides only limited access to health care, the European Union, via Memisa Belgium, implemented a program to strengthen provision of and access to health care (known as PRO DS) in the provinces of Kongo Central and Ituri. This program took a holistic approach, seeking to improve equitable access and combat malnutrition.
METHODS
To measure the program’s social return on investment and to estimate the cost per capita and effectiveness per euro invested (efficiency), a 61-month (1 July 2017 to 31 July 2022) cost-effectiveness evaluation with a societal perspective was carried out. The double-difference method was used to compare the results of PRO DS and non-PRO DS zones. The social return on investment was assessed via the ratio of effectiveness to costs.
RESULTS
Analyses revealed the program cost between 3.72 and 3.96 euros per capita per year (2022) in Kongo Central, and between 3.12 and 3.36 euros in Ituri. Importantly, it was cost-effective in the areas of reproductive health, nutrition, and the use of health and nutrition services.
CONCLUSIONS
The program’s strong nutritional component and overall holistic vision may explain why it was so efficient. PRO DS stands out from other programs that focus solely on one specific problem or population. Although the program has some limitations, it would be worthwhile for the government to invest in it.
期刊介绍：
La revue Santé Publique s’adresse à l’ensemble des acteurs de santé publique qu’ils soient décideurs,
professionnels de santé, acteurs de terrain, chercheurs, enseignants ou formateurs, etc. Elle publie
des travaux de recherche, des évaluations, des analyses d’action, des réflexions sur des interventions
de santé, des opinions, relevant des champs de la santé publique et de l’analyse des services de
soins, des sciences sociales et de l’action sociale.
Santé publique est une revue à comité de lecture, multidisciplinaire et généraliste, qui publie sur
l’ensemble des thèmes de la santé publique parmi lesquels : accès et recours aux soins, déterminants
et inégalités sociales de santé, prévention, éducation pour la santé, promotion de la santé,
organisation des soins, environnement, formation des professionnels de santé, nutrition, politiques
de santé, pratiques professionnelles, qualité des soins, gestion des risques sanitaires, représentation
et santé perçue, santé scolaire, santé et travail, systèmes de santé, systèmes d’information, veille
sanitaire, déterminants de la consommation de soins, organisation et économie des différents
secteurs de production de soins (hôpital, médicament, etc.), évaluation médico-économique
d’activités de soins ou de prévention et de programmes de santé, planification des ressources,
politiques de régulation et de financement, etc
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