Cost-Benefit Analysis of the Neonatal Screening Program Implementation for Congenital Hypothyroidism in I. R. Iran

AR Delavari; SH Yarahmadi; R Birjandi; AR Mahdavi; A Norouzi Nejad; M Dini

International Journal of Endocrinology and Metabolism

Research Institute for Endocrine Sciences

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Cost-Benefit Analysis of the Neonatal Screening Program Implementation for Congenital Hypothyroidism in I. R. Iran

Author(s):

AR Delavari^1,*,

SH Yarahmadi²,

R Birjandi²,

AR Mahdavi²,

A Norouzi Nejad²,

M Dini³

1Disease Control Center, Ministry of Health and Medical Education, delavari@yahoo.com, IR.Iran

2Disease Control Center, Ministry of Health and Medical Education, IR.Iran

International Journal of Endocrinology and Metabolism:Vol. 4, issue 2; 84-87

Article type:Research Article

Received:Feb 01, 2005

Accepted:Dec 14, 2005

How to Cite:AR DelavariSH YarahmadiR BirjandiAR MahdaviA Norouzi NejadM Diniet al.Cost-Benefit Analysis of the Neonatal Screening Program Implementation for Congenital Hypothyroidism in I. R. Iran.Int J Endocrinol Metab.4(2):84-87.

Abstract

Congenital Hypothyroidism (CH) is one of the most preventable causes of mental retardation and can be detected through neonatal screening; it is estimated 1200 CH patients are born in Iran, annually. The aim of this investigation was to provide a report on the outcome and estimate the cost-benefit ratio of the screening program im-plementation for CH in Iran based on the pilot study. Materials and Methods: The cost of the screen-ing program for CH for each newborn was based on data gathered from the pilot study of three provinces and the amount then multiplied by the number of births per year. The care cost of men-tally retarded individuals is calculated based on the Welfare budget of caring for these people. Results: Total cost of implementation of the neonatal screening program for CH during the first year is 16, 256, 400, 000 Rials ($ 2, 000, 000). The ratio of the cost of care for the children to the cost of implementation of the screening pro-gram is about 1 to 16 and the ratio of the benefit (cost saving) to the implementation cost is 1 to 15. Conclusion: The neonatal screening program for CH has a very high potential for implementation in the country. As a result, the implementation of the CH screening program as the first screen-ing of newborns provides a basis for better un-derstanding and timely detection of CH and other metabolic diseases in Iran.

Keywords

Cost-benefit analysis

Congenital hypothyroidism

Implementation

Newborn screening program

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