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Cost effectiveness analysis of sanitation improvement in response to floods and storms in Central Vietnam
Umeå University, Faculty of Medicine, Department of Public Health and Clinical Medicine, Epidemiology and Global Health.
2016 (English)Independent thesis Advanced level (degree of Master (Two Years)), 10 credits / 15 HE creditsStudent thesis
Abstract [en]

Background: Vietnam is one of the most disaster-prone countries in the world with floods, storms, and drought being the most common types. Natural disasters cause tremendous impacts on human health, and children under 5 are the most vulnerable group. Sanitation improvement after natural disasters is essential to ensure basic human rights and prevent disease transmission. Although primary health care workers are the frontline in response to disaster-related diseases, there is no clear guideline on funding for sanitation programs. The study aimed to estimate the costs of sanitation improvement to respond to floods and storms in Central Vietnam, and evaluate cost effectiveness of these activities in preventing diarrhea and dengue in children under 5.

Methods: The costs of sanitation improvement were estimated from societal perspective comparing current practice and the ideal scenario. Activity based costing was applied to measure time and resource invested in each activity at three administrative levels. A disease specific decision tree model was used for cost effectiveness analysis.

Results: The costs of the current practice were lower than the costs of the ideal scenario. Cost per capita of the current practice was 23 USD, while the number of the ideal scenario was 28 USD. However, the ideal scenario was theoretically more cost effective than the current practice with cost per DALY averted being 224 USD compared with 499 USD. The variable that influenced cost effectiveness ratio the most was effectiveness of sanitation improvement in lowering prevalence of diarrhea due to floods and storms.

Conclusion: Sanitation improvement is a cost effective measurement to prevent disaster related diseases. The model showed that it was worthwhile to put more efforts in improving sanitation conditions in Vietnam.   

Place, publisher, year, edition, pages
2016. , 44 p.
Series
Centre for Public Health Report Series, ISSN 1651-341x ; 2016:29
Keyword [en]
Sanitation, floods, storms, Vietnam, Sanitation improvement
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
URN: urn:nbn:se:umu:diva-131625OAI: oai:DiVA.org:umu-131625DiVA: diva2:1075213
External cooperation
Hanoi University of Public Health (Vietnam) - Assoc. Prof. Hoang Van Minh
Educational program
Master's Programme in Public Health
Presentation
2016-05-24, Umeå Universitet, Umeå, 14:14 (English)
Supervisors
Examiners
Available from: 2017-02-17 Created: 2017-02-17 Last updated: 2017-02-17Bibliographically approved

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CiteExportLink to record
Permanent link

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Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
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  • nn-NO
  • nn-NB
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More languages
Output format
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  • asciidoc
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