A Cost Effect Analysis of Utilising Community Health Workers in the Management of Tuberculosis, Kenya [dataset]

Iosr Journals, Jane Rahedi Ong'ang'o, Christina Mwachari, Simon Karanja
2015 Figshare  
Community Health Workers (CHWs) have been utilised for various primary health care activities in different settings especially in developing countries. Usually when utilised in well defined terms, they have a positive impact. Objectives: The overall objective of this study was to undertake a cost effect analysis of utilising CHWs in tuberculosis (TB) management. Methods: A retrospective cohort study was conducted in selected health facilities using standard clinical records for each TB patient
more » ... or each TB patient registered for treatment between 2005 to 2011. Results: The study assessed 2778 tuberculosis patients and among them 1499 (54%) utilized CHWs for their TB treatment. The cost effect analysis revealed that the average cost per Disability Adjusted Life Year (DALY) averted for treatment success was higher (184 US$) in the cohort that utilised CHWs compared to the nonutilising cohort (87 US$). Use of CHWs resulted in better treatment success rate (82.15%) compared to not using at 72.25% (p-value <0.001). Utilising CHWs resulted in less DALYs (5688) from death compared to not utilising CHWs (5725) . Of the patients who died, a majority ( ) died within the first month of their treatment and they were in the cohort that did not utilise CHWs. Conclusion: The use of CHWs may be considered as a health and economic benefit because more life was saved with a higher treatment success rate and there seemed to be death averted in the early months of TB treatment.
doi:10.6084/m9.figshare.1451209.v1 fatcat:humh5aliqbeylbaewx2qibqtoe