Cost-effectiveness of a diabetes group education programme delivered by health promoters with a guiding style in underserved communities in Cape Town, South Africa
| dc.contributor.advisor | Mash, Bob | en_ZA |
| dc.contributor.author | Kroukamp, Roland | en_ZA |
| dc.contributor.other | University of Stellenbosch. Faculty of Health Sciences. Dept. of Interdisciplinary Health Sciences. Family Medicine and Primary Care. | en_ZA |
| dc.date.accessioned | 2016-01-28T11:36:23Z | |
| dc.date.available | 2016-01-28T11:36:23Z | |
| dc.date.issued | 2014-03 | |
| dc.description | Thesis (MMed)--Stellenbosch University, 2014. | en_ZA |
| dc.description.abstract | ENGLISH ABSTRACT: Background Resource constrained primary care environments in Africa need cost-effective models of patient education to combat the emerging epidemic of non-communicable chronic diseases. This study aimed to evaluate the cost-effectiveness of a group diabetes education programme delivered by health promoters with a guiding style,in community health centres in the Western Cape, South Africa. Method The effectiveness of the education programme was derived from the outcomes of a pragmatic cluster randomised controlled trial (RCT). Incremental operational costs of the intervention, as implemented in the trial, were calculated. All these data were entered into a Markov micro-simulation model to model outcomes and cost-effectiveness expressed as an Incremental Cost Effectiveness Ratio (ICER).Data predicting risk of death from stroke and ischaemic heart disease in this model was derived from South African surveys. Results: The only significant effect from the RCT was a reduction in blood pressure at 1-year (systolic blood pressure -4.65mmHg (-9.18- -0.12) and diastolic blood pressure -3.30mmHg (-5.35 - -1.26)). The ICER for the intervention, based on the assumption that the costs would recur every year and the effect be maintained, was 1862. Conclusion: An ICER of less than 10000 for medical intervention in South Africa is considered cost-effective. A structured group education programme performed by mid-level trained healthcare workers with a guiding style at community health clinics, for the management of Type 2 diabetes in the Western Cape, South Africa is therefore cost-effective. | en_ZA |
| dc.description.abstract | AFRIKAANSE OPSOMMING: Nie beskikbaar nie. | af_ZA |
| dc.format.extent | 22 pages | |
| dc.identifier.uri | http://hdl.handle.net/10019.1/98219 | |
| dc.language.iso | en_ZA | en_ZA |
| dc.publisher | Stellenbosch : University of Stellenbosch | en_ZA |
| dc.rights.holder | University of Stellenbosch | en_ZA |
| dc.subject | UCTD | en_ZA |
| dc.subject | Diabetes -- South Africa -- Western Cape | en_ZA |
| dc.subject | Patient eduction -- South Africa -- Western Cape-- Cost effectiveness | en_ZA |
| dc.title | Cost-effectiveness of a diabetes group education programme delivered by health promoters with a guiding style in underserved communities in Cape Town, South Africa | en_ZA |
| dc.type | Thesis | en_ZA |