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- Title
Estimación de la demanda de medicamentos antichagásicos: una contribución para el acceso en América Latina.
- Authors
Costa Chaves, Gabriela; Abi-Saab Arrieche, Mariana; Rode, Joelle; Mechali, Daniel; Ouverney Reis, Priscileyne; Vieira Alves, Renato; Stobbaerts, Eric; Girón Aguilar, Nora; Ribeiro, Isabela
- Abstract
Objective. Describe a tool to estimate demand for benznidazole and nifurtimox to treat Chagas disease, and report on its implementation in a group of Latin American countries. Methods. The project was carried out in the following stages: 1) development of a tool to estimate demand, and definition of the evaluation and decision variables to estimate demand 2) data collection via a questionnaire completed by representatives of control programs, complemented with data from the literature; 3) presentation of the tool, followed by validation, and adaptation by representatives of the control programs in order to plan drug procurement for 2012 and 2013; and 4) further analysis of the obtained data, especially regarding benznidazole, and comparison of country estimates. Results. Fourteen endemic countries of Latin America took part in the third stage, and a consolidated estimate was made. The number of estimated treatments, based on the number of tablets per treatment established in the regimen of reference was: 867 in the group under 1 year of age; 2 042 835 in the group from 1 to 15 years old; 2 028 in the group from 15 to 20 years old; and 10 248 in adults over 20. This means that it is possible to provide benznidazole to less than 1% of people for whom treatment is indicated. Conclusions. The development and systematic use of demand management tools can play a key role in helping to provide access to the anti-Chagas drugs. There is a significant gap between the projected demand for drugs and current estimates of prevalence rates.
- Publication
Pan American Journal of Public Health, 2017, Vol 41, p1
- ISSN
1020-4989
- Publication type
Article