Modeling the Cost-Effectiveness of the Integrated Disease Surveillance and Response (IDSR) System: Meningitis in Burkina Faso

Background: Effective surveillance for infectious diseases is an essential component of public health. There are few studies estimating the cost-effectiveness of starting or improving disease surveillance. We present a cost-effectiveness analysis the Integrated Disease Surveillance and Response (IDSR) strategy in Africa. Methodology/Principal Findings: To assess the impact of the IDSR in Africa, we used pre- and post- IDSR meningococcal meningitis surveillance data from Burkina Faso (1996–2002 and 2003–2007). IDSR implementation was correlated with a median reduction of 2 weeks to peak of outbreaks (25 th percentile 1 week; 75 th percentile 4 weeks). IDSR was also correlated with a reduction of 43 meningitis cases per 100,000 (25 th –40: 75 th-129). Assuming the correlations between reductions in time to peak of outbreaks and cases are related, the cost-effectiveness of IDSR was $23 per case averted (25 th-$30; 75 th- cost saving), and $98 per meningitis-related death averted (25 th-$140: 75 th – cost saving). Conclusions/Significance: We cannot absolutely claim that the measured differences were due to IDSR. We believe, however, that it is reasonable to claim that IDSR can improve the cost-effectiveness of public health surveillance

ATSA synthesis : Burkina Faso chapter

Pre-publication copyTobacco control advocates are pursuing enforcement of existing smoke-free legislation. Although Burkina Faso has been traditionally a highly centralized government, in the last few years the government has taken steps to decentralize. Significant powers particularly in the area of health, have been devolved to the 359 “mayors” of the main municipalities. The African Tobacco Situational Analyses (ATSA) team is working with a sample of 45 of these elected officials and their staffs to educate them about tobacco issues and to encourage and help them enforce smoke-free policies

Politiques publiques et lutte contre l'exclusion, phase II : rapport final

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