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• W3184744537 abstract "We integrated sleeping sickness case detection into the primary healthcare system in 2 health districts in the Democratic Republic of the Congo. We replaced a less field-friendly serologic test with a rapid diagnostic test, which was followed up by human African trypanosomiasis microscopic testing, and used a mixed costing methodology to estimate costs from a healthcare provider perspective. We screened a total of 18,225 persons and identified 27 new cases. Average financial cost (i.e., actual expenditures) was US $6.70/person screened and $4,464/case diagnosed and treated. Average economic cost (i.e., value of resources foregone that could have been used for other purposes) was $9.40/person screened and $6,138/case diagnosed and treated. Our study shows that integrating sleeping sickness surveillance into the primary healthcare system is feasible and highlights challenges in completing the diagnostic referral process and developing a context-adapted diagnostic algorithm for the large-scale implementation of this strategy in a sustainable and low-cost manner." @default.
• W3184744537 created "2021-08-02" @default.
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• W3184744537 date "2021-08-01" @default.
• W3184744537 modified "2023-09-25" @default.
• W3184744537 title "Costs and Outcomes of Integrated Human African Trypanosomiasis Surveillance System Using Rapid Diagnostic Tests, Democratic Republic of the Congo" @default.
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• W3184744537 doi "https://doi.org/10.3201/eid2708.202399" @default.
• W3184744537 hasPubMedCentralId "https://www.ncbi.nlm.nih.gov/pmc/articles/8314840" @default.
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