Economic And Social Benefit Analysis Of Strengthen Immunity Of Measles Bacterin In Xinjiang Autonomous Region

Background:Measles is a serious hazard to the health of children with acute respiratory infections,illness-prone after serious complications so far is still young children in the vaccine preventable diseases caused the death of one of the primary reasons.Including China,the WHO Western Pacific Regional Every year about 30,000 children die from measles.So the harm in vaccine-preventable diseases still occupy important positions.Currently WHO has set for measles after smallpox,polio after the third would be to eliminate or eradicate the disease,in 2005 China where the WHO Western Pacific Region all countries committed to the elimination of measles in 2012. China began in 1965 of the measles vaccine,especially in 1978 after immunization,measles incidence has been effectively controlled.However,in some autonomous regions(cities,districts) routine immunization landslides in recent years measles incidence in China's resurgence.1999-2001,the measles cases annually to more than 20%increase in the speed of.The incidence of measles in Xinjiang in the 32 autonomous regions(cities,districts),ranked second,is the result of the increased incidence of measles in one of the main contributors.In 2004 in Xinjiang autonomous region within the framework of a measles outbreak,or pandemic,which in 2004 reported incidence of measles rose to 10,000 XV/32,leaping to the top.In response to this trend, the Ministry of Health and the autonomous regional people's government under the strong support of 2004,November 25-December 1 in the region within the framework of the eight-month-old to 13-year-olds successfully implemented a measles immunization.The breadth of its coverage,as many as the number of children vaccinated,input of manpower and material resources,in Xinjiang is unprecedented.The implementation of any one health planning,we can bring attention to their social benefits but also should pay attention to their produce economic benefits.This requires every right to a health economics evaluation of the results of the health sector decision-making reasonable and efficient use of limited health resources is of important guiding significance.For this study from the perspective of health economics Xinjiang measles vaccine immunization strategy for the prevention of social and economic benefits of research,quantitative understanding of the region measles immunization,as well as input from the social and economic benefits,strengthen the immune full account of the economic strategy,through data showed pre-anti-vaccination in economic construction,the role of the government to develop and improve immunization strategy to ensure the optimal allocation of health resources provide basis.Objective.The study plans to evaluate the immunization strategy of strengthen immunity of measles bacterin in xinjiang with the method of economic evaluation.The result of this studyis valuable for the health department to adjust or perfect immunity strategy,and is valuable for the health resource usage.Methods:Health Economics Evaluation Methods used for analysis.Subject to the measles vaccine in Xinjiang in 2004 to strengthen the immune background,the following line of research.First,according to the measles immunization activities in the hardware and software investment costs,calculated in Xinjiang in 2004 the cost of the strengthen immunization;Second,with immunization before and after measles immunization morbidity report,the projected implementation of the Xinjiang after measles immunization to reduce the incidence of,namely Xinjiang measles vaccination strategy to strengthen the social benefits;Third,Choice of measles in Xinjiang in 2004 as the economic benefits of target groups,calculated from the measles infection caused by the direct and indirect economic losses.Then after immunization with the measles reduction in the number of cases,extrapolated from the implementation of the measles immunization to avoid the economic loss,namely Xinjiang measles vaccination strategy to strengthen the economic performance.Finally,use of health economics evaluation of the cost-effective method to evaluate economic and social benefits.Results:The results showed that in 2004 Xinjiang measles vaccine immunization Total investment cost 10.42 million yuan,measles patients with a direct economic loss of 4,031 yuan in indirect economic losses to 600 yuan.Immunization after two and a half years with 9705 people from a measles,and the direct economic benefit to 40.7184 million yuan,and indirect economic benefits to 6.0658 million yuan,the total benefit to 46.7842 million yuan.Measles vaccine immunization strategy for the total value of BCR 4.49,the net benefits of 36.3642 million yuan,indicating that the strategy was a good economic and social benefits.Conclusions:Xinjiang strengthen the implementation of the measles vaccine immunization strategy,the BCR value than one that measures in the investment made economic benefits far outweigh the costs,Xinjiang 2004 measles immunization strategy for the prevention of the feasibility of economics.Measles immunization costs-is the effectiveness of dynamic change,we should make its long-term dynamic evaluation,and promote vaccination,more efficient prevention and control the spread of measles,more effective use of limited health resources.