Onchocerciasis control in Nigeria: will households be able to afford community-directed treatment with ivermectin?

Onwujekwe, O; Shu, E; Onwuameze, O; Ndum, C; Okonkwo, P; (2001) Onchocerciasis control in Nigeria: will households be able to afford community-directed treatment with ivermectin? Acta tropica, 80 (3). pp. 277-281. ISSN 0001-706X DOI: https://doi.org/10.1016/S0001-706X(01)00162-0

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Objectives: To determine the level of affordability of community-directed treatment with ivermectin (CDTI) to households living in two onchocerciasis endemic Nigerian communities namely Toro in the north and Nike in the south. Methods: The proportion or the cost of treating people with ivermectin will deplete in average monthly/projected annual household expenditure on food and health care, and on average monthly and projected annual household income were respectively calculated and used to determine the level of affordability of CDTI. Questionnaires administered to heads of households or their representatives were used to collect information on the household expenditures and income. The suggested unit CDTI cost of $0.20 was used. However, as a test of sensitivity, we also used the unit cost of $0.056 which some community based distributors are charging per treatment. Result: Using $0.20 as the unit treatment cost. this will consume less than 0.05% of average annual household income in both communities. It will equally deplete 0.05% of combined annual household expenditures on food and health care in both communities. However, using $0.056 as the unit treatment cost, then 0.02% of average annual household expenditure on health care, 0.01% average annual expenditure on combined health care and food, and 0.01% of average annual household income will be depleted. Conclusion: The households living in both communities may be able to afford CDTI schemes. However, the final decision on levels of affordability lies with the households. They will decide whether they can afford to trade-off some household income for ivermectin distribution. (C) 2001 Elsevier Science B.V. All rights reserved.

Item Type: Article
Keywords: ivermectin, affordability, onchocerciasis, Health-care, user fees, pay, willingness, ability, Adult, Animal, Community Health Services, methods, Family Characteristics, Filaricides, economics, therapeutic use, Health Expenditures, Human, Ivermectin, economics, therapeutic use, Middle Age, Nigeria, Onchocerciasis, drug therapy, economics, prevention & control, Questionnaires, Support, Non-U.S. Gov't
Faculty and Department: Faculty of Public Health and Policy > Dept of Global Health and Development
PubMed ID: 11700186
Web of Science ID: 172304900011
URI: http://researchonline.lshtm.ac.uk/id/eprint/17637


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