Equity impact analysis of medical approaches to cardiovascular diseases prevention in Tanzania

Frida N. Ngalesoni, George M. Ruhago, Amani T. Mori, Bjarne Robberstad and Ole F. Norheim

Social Science & Medicine, 2016, vol. 170, issue C, 208-217

Abstract: Primary medical prevention of cardiovascular disease (CVD) has received low priority in Tanzania, despite evidence of the rising prevalence of CVD risk factors. Different guidelines have been proposed for medical CVD prevention, including the European Society of Cardiology (ESC) and the World Health Organization (WHO) guidelines, which recommend medical prevention for all individuals based on the consideration of single CVD risk thresholds. A third alternative is differentiated risk thresholds according to age. This paper compares the WHO and the differentiated risk threshold by age approaches against a baseline of no medical CVD prevention and a best scenario identical to the ESC approach in Tanzania. Assuming fixed budgets, we evaluate the guidelines according to three outcome measures, namely: efficiency, inequality and the combination of efficiency and inequality.

Keywords: Tanzania; Sub-Sahara Africa; Cardiovascular disease; Equity impact; Efficiency-equity tradeoff; Primary prevention (search for similar items in EconPapers)
Date: 2016
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Citations: View citations in EconPapers (2)

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Persistent link: https://EconPapers.repec.org/RePEc:eee:socmed:v:170:y:2016:i:c:p:208-217

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DOI: 10.1016/j.socscimed.2016.08.033

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