Le coût du Paludisme - Présentation du 2e édition du Cours international « Atelier Paludisme » - SEM Rithy - INSTITUT PASTEUR de CAMBODGE 5, Bd MONIVONG, BP 983, Phnom Penh, Royaume du Cambodge - Technicienne - srithy@pasteur-kh.org

1. Le coût du Paludisme
Mme. Sèm Rithy
<srithy@pasteur.mg>
Ateliere Paludisme 2004
vendredi 26.03.04

2. Plan
1- Le coût de la lutte antipaludique
2- Le coût de la maladie « paludisme »
3- Relation entre malaria développement
et malaria pauvreté.
Ateliere Paludisme 2004
vendredi 26.03.04

3. Introduction
Approximately 300 million people worldwide are affected
by malaria and between 1 and 1.5 million people die from
it every year.
The malaria is now mainly confined to Africa, Asia and
Latin America.
The problems of controlling malaria in these countries are
aggravated by inadequate health structures and poor
socioeconomic conditions.
It accounts for 2.6 percent of the total disease burden of
the world.
*Reference: www-micromsb.le.ac.uk/224/Malaria.html
Ateliere Paludisme 2004
vendredi 26.03.04

4. 1- Le coût de la lutte antipaludique
1.1 Sector of activities
-
1.1.1
- Management & Supervision
1.1.2
- Prevention
1.1.3
- Case management
1.1.4
- Monitoring & Evaluation
1.1.5
- Training
1.1.6
- I.E.C.
1.1.7
- Research
- fundamental and operational
- public and private
Ateliere Paludisme 2004
vendredi 26.03.04

5. Research
Estimated annual expenditure on malaria research,
prevention and treatment $ 84 million.
Estimated worldwide expenditure on malaria research $
58 million, one thousandth of the $ 56 billion spent
globally on health research annually.
*Reference: www.malariasite.com/malaria/WhatIsMalaria.htm
Ateliere Paludisme 2004
vendredi 26.03.04

6. 1- Le coût de la lutte antipaludique
1.2- Items of disbursement
1.2.1- Human resources
- salaries, per diem, insurances
1.2.2- Infrastructures
- building
- renovation
1.2.2- Equipment and supply
- slides, stain, drugs, insecticides
- microscopes, bed nets
- health center and hospital equipment
- etc.
1.2.3- Transportation
- cars, gasoline
- motorbikes, bicycles, boats
Ateliere Paludisme 2004
- etc. vendredi 26.03.04

7. 1- Le coût de la lutte antipaludique
1.3- Estimated costs
1.3.1 Examples in Africa
-
1.3.2 Examples in Asia (Cambodge)
-
1.3.3 Examples in South Africa
-
1.3.4 Worldwide
-
Ateliere Paludisme 2004
vendredi 26.03.04

8. Data regarding Africa
It is estimated that a single case of malaria costs a
sum equivalent to over 10 working days in Africa.
The cost of treatment is between $0.08 and $5.30
according to the type of drugs prescribed as
determined by local drug resistance.
In 1987, the total "cost" of malaria health care,
treatment, lost production, etc. was estimated to be
$800 million for tropical Africa and this figure is
currently estimated to be more than $1,800 million.
*Reference: www-micromsb.le.ac.uk/224/Malaria.html
Ateliere Paludisme 2004
vendredi 26.03.04

9. Data regarding Cambodia
For most Cambodians, anti-malaria drugs are not cheap,
said National Malaria Center Director
The cost of a single malaria treatment is 3,000 riel (about
$0.75), but if a patient's health doesn't improve due to an
unfinished drug regime or low-quality pharmaceuticals, they
could end up spending as much as 13,000 riel (about $3.29),
Tsuyuoka said.
A 2002 survey conducted by the WHO and the National
Malaria Center showed that malaria global treatments can
cost as much as $138, Tsuyuoka said.
*Reference: www.cambodia.net/malaria/15_5_03.htm
Ateliere Paludisme 2004
vendredi 26.03.04

10. Data regarding South Africa
Malaria in selected Southern African countries could
cost as much as $1,000 million, or 4% of GDP in 1998.
The incidence of malaria in these areas has severe
economic impacts and as in the past, continues to
hamper economic development
*Reference: www.malaria.org/tren.html
Ateliere Paludisme 2004
vendredi 26.03.04

11. Worldwide data
Estimated worldwide expenditure per malaria fatality $ 65;
as compared to $ 3274 for HIV/AIDS and $ 789 for
asthma.
It is responsible for the loss of more than 35 million
disability a
- djusted life y
- ears each year.
*Reference: www.malariasite.com/malaria/WhatIsMalaria.htm
Ateliere Paludisme 2004
vendredi 26.03.04

12. Total cost
Every year ~ 30000 visitors to endemic areas
develop malaria and 1% of them may die.
Estimated global annual cost in 1995 for malaria
$ 2 billion .
It accounts for 2.6 percent of the total disease
burden of the world
*Reference: www.malariasite.com/malaria/WhatIsMalaria.htm
Ateliere Paludisme 2004
vendredi 26.03.04

13. 2- Le coût de la maladie« paludisme
»
Obstacle to the development
- Prosperity between countries with malaria and countries without
malaria
Obstacle to the economy :
Difference in GDP between countries with malaria and without malaria
- lower productivity
- less tourism
- foreign investment
- economic networks within the country
Impact on the population
- The people lower knowledge
Cost on the health system
Ateliere Paludisme 2004
- It account for 2.6% of the total disease burden of the world
vendredi 26.03.04

14. -
3 Relation entre malaria développement et malaria pauvreté .
Malaria and development ?
Malaria and poverty ?
* www.malaria.org.zw/pubs/malpovretydev.pdf
Ateliere Paludisme 2004
vendredi 26.03.04

15. Ateliere Paludisme 2004
vendredi 26.03.04

16. Malaria and Poverty
Ateliere Paludisme 2004
vendredi 26.03.04

17. MERCI BEAUCOUP
Ateliere Paludisme 2004
vendredi 26.03.04