Cost-effectiveness analysis of a school-based dental caries prevention program using fluoridated milk in Bangkok, Thailand
Abstract Background This study modelled the cost-effectiveness, from a societal perspective, of a program that used fluoridated milk to prevent dental caries in children who were 6 years old at the beginning of the program, versus non-intervention, after 6 years. Methods After 6 years, children in t...
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| Format: | Article |
| Language: | English |
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BMC
2018-02-01
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| Series: | BMC Oral Health |
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| Online Access: | http://link.springer.com/article/10.1186/s12903-018-0485-7 |
| _version_ | 1819019480096833536 |
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| author | Rodrigo Mariño Fernando Traub Puangtong Lekfuangfu Kornkamol Niyomsilp |
| author_facet | Rodrigo Mariño Fernando Traub Puangtong Lekfuangfu Kornkamol Niyomsilp |
| author_sort | Rodrigo Mariño |
| collection | DOAJ |
| description | Abstract Background This study modelled the cost-effectiveness, from a societal perspective, of a program that used fluoridated milk to prevent dental caries in children who were 6 years old at the beginning of the program, versus non-intervention, after 6 years. Methods After 6 years, children in the milk-fluoridation program had a significant (34%) reduction in dental caries experience compared to those in the comparison community (i.e., received school milk without added fluoride) (DMFS: 1.06 vs. 1.60). Results This improvement was achieved with an investment of Thailand Baht (THB) 5,345,048 over 6 years (or THB 11.88 per child, per year) (1 US$ = THB(2011) 30.0). When comparing the costs of the operation of the program and dental treatment in the test community with those of the comparison community, the program resulted in a net societal savings of THB 8,177,179 (range 18,597,122 to THB 7,920,711) after 6 years. This investment would result in 40,500 DMFS avoided in a community with a childhood population of 75,000 [DMFS avoided: 75,000 x (− 0.54)]. Conclusions While the analysis has inherent limitations due to its dependence on a range of assumptions, the results suggest that, from a societal perspective, when compared with the non-intervention group, the Bangkok Metropolitan Administration intervention appeared to be a more cost-efficient option than current standard oral health care. |
| first_indexed | 2024-12-21T03:35:59Z |
| format | Article |
| id | doaj.art-52eff6fde9434db3b67a9da8e3840540 |
| institution | Directory Open Access Journal |
| issn | 1472-6831 |
| language | English |
| last_indexed | 2024-12-21T03:35:59Z |
| publishDate | 2018-02-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Oral Health |
| spelling | doaj.art-52eff6fde9434db3b67a9da8e38405402022-12-21T19:17:20ZengBMCBMC Oral Health1472-68312018-02-011811810.1186/s12903-018-0485-7Cost-effectiveness analysis of a school-based dental caries prevention program using fluoridated milk in Bangkok, ThailandRodrigo Mariño0Fernando Traub1Puangtong Lekfuangfu2Kornkamol Niyomsilp3Melbourne Dental School, Oral Health Cooperative Research Centre, University of MelbourneMelbourne Dental School, Oral Health Cooperative Research Centre, University of MelbourneDental Health Bureau, Department of Health, Ministry of Public HealthDental Health Bureau, Department of Health, Ministry of Public HealthAbstract Background This study modelled the cost-effectiveness, from a societal perspective, of a program that used fluoridated milk to prevent dental caries in children who were 6 years old at the beginning of the program, versus non-intervention, after 6 years. Methods After 6 years, children in the milk-fluoridation program had a significant (34%) reduction in dental caries experience compared to those in the comparison community (i.e., received school milk without added fluoride) (DMFS: 1.06 vs. 1.60). Results This improvement was achieved with an investment of Thailand Baht (THB) 5,345,048 over 6 years (or THB 11.88 per child, per year) (1 US$ = THB(2011) 30.0). When comparing the costs of the operation of the program and dental treatment in the test community with those of the comparison community, the program resulted in a net societal savings of THB 8,177,179 (range 18,597,122 to THB 7,920,711) after 6 years. This investment would result in 40,500 DMFS avoided in a community with a childhood population of 75,000 [DMFS avoided: 75,000 x (− 0.54)]. Conclusions While the analysis has inherent limitations due to its dependence on a range of assumptions, the results suggest that, from a societal perspective, when compared with the non-intervention group, the Bangkok Metropolitan Administration intervention appeared to be a more cost-efficient option than current standard oral health care.http://link.springer.com/article/10.1186/s12903-018-0485-7Dental cariesFluoridationThailand |
| spellingShingle | Rodrigo Mariño Fernando Traub Puangtong Lekfuangfu Kornkamol Niyomsilp Cost-effectiveness analysis of a school-based dental caries prevention program using fluoridated milk in Bangkok, Thailand BMC Oral Health Dental caries Fluoridation Thailand |
| title | Cost-effectiveness analysis of a school-based dental caries prevention program using fluoridated milk in Bangkok, Thailand |
| title_full | Cost-effectiveness analysis of a school-based dental caries prevention program using fluoridated milk in Bangkok, Thailand |
| title_fullStr | Cost-effectiveness analysis of a school-based dental caries prevention program using fluoridated milk in Bangkok, Thailand |
| title_full_unstemmed | Cost-effectiveness analysis of a school-based dental caries prevention program using fluoridated milk in Bangkok, Thailand |
| title_short | Cost-effectiveness analysis of a school-based dental caries prevention program using fluoridated milk in Bangkok, Thailand |
| title_sort | cost effectiveness analysis of a school based dental caries prevention program using fluoridated milk in bangkok thailand |
| topic | Dental caries Fluoridation Thailand |
| url | http://link.springer.com/article/10.1186/s12903-018-0485-7 |
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