非洲某中资矿产企业疟疾综合防治项目的经济学评价  

Economic Evaluation of Comprehensive Malaria Prevention and Control Project of a Chinese-funded Mining Enterprise in Africa

作　　者：杜炎秋 梁成 周华云[2] 曹俊[2] 黄葭燕[1] DU Yanqiu(School of Public Health,Fudan University,Shanghai,200032,China)

机构地区：[1]复旦大学公共卫生学院,上海200032 [2]江苏省寄生虫病防治研究所,江苏无锡214064

出　　处：《医学与社会》2023年第1期69-74,共6页Medicine and Society

基　　金：国家社会科学基金资助重大研究专项,编号为20VMG027;国家社会科学基金资助重大项目,编号为20&ZD147。

摘　　要：目的:通过对海外疟疾综合防治项目的经济学评价,分析“卫企联合”模式的优势,提出相关建议,以促进海外疟疾防控项目的实施,维护中方员工与当地雇员的健康。方法:针对某中资矿产企业在刚果(金)实施的疟疾综合防治项目,从企业视角核算项目投入成本,将“避免的疟疾病例数”作为效果指标,以成本效果比、净现值、效益成本比为评价指标,对该项目开展经济学评价。结果:项目实施第一个年度的成本约为101.80万元,共避免约198例疟疾病例的发生,项目的成本效果比约为4000元/例。项目直接健康产出的货币化价值约为260.80万元,效益成本比为2.56,净现值约为159.00万元。结论:该项目有效防控员工的疟疾发生,效果显著,同时具有一定的经济效益。项目采用的“卫企联合”模式在海外疟疾防治上的明显优势,但项目成本仍有进一步压缩的空间。建议今后进一步扩大项目规模,积极推动疟疾防治的多方联合与常态化、制度化。Objective:To analyze the advantages of the"health-enterprise joint"model,an economic evaluation of the overseas comprehensive malaria prevention and control project was conducted,so as to put forward relevant suggestions for promoting the implementation of overseas malaria prevention and control projects and protecting the health of Chinese and local employees.Methods:This study focused on the comprehensive malaria prevention and control project implemented by a Chinese-funded mining enterprise in the Democratic Republic of Congo.The project input cost was calculated from the perspective of the enterprise.The"number of malaria cases avoided"was used as the effect index,and the cost-effectiveness ratio,net present value,and benefit-cost ratio were used as the evaluation indicators to conduct an economic evaluation of the project.Results:In the first year of project implementation,the cost was about 1.018 million yuan,and about 198 malaria cases were avoided.The cost-effectiveness ratio of the project was about 4000 yuan per case.The monetization value of the direct healthy output of the project was about 2.608 million yuan,the benefit-cost ratio was 2.560,and the net present value was about 1.590 million yuan.Conclusion:The project effectively prevented and controlled the occurrence of malaria among employees,with remarkable results and certain economic benefits.The project also better reflected the advantages of the"health-enterprise joint"model in malaria prevention and control overseas.However,there was still room for further reduction in the project cost.It was suggested to expand the scale of the project further and actively promote the multi-party cooperation,normalization,and institutionalization of malaria prevention and treatment.

关 键 词：疟疾防控 卫企联合 经济学评价 中资矿产企业 非洲 

分 类 号：R197.32[医药卫生—卫生事业管理]