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Reducing non-communicable diseases among Palestinian populations in Gaza: A participatory comparative and cost-effectiveness modeling assessment

Author

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  • Sanjay Basu
  • John S Yudkin
  • Mohammed Jawad
  • Hala Ghattas
  • Bassam Abu Hamad
  • Zeina Jamaluddine
  • Gloria Safadi
  • Marie-Elizabeth Ragi
  • Raeda El Sayed Ahmad
  • Eszter P Vamos
  • Christopher Millett

Abstract

We sought to assess the effectiveness and cost-effectiveness of potential new public health and healthcare NCD risk reduction efforts among Palestinians in Gaza. We created a microsimulation model using: (i) a cross-sectional household survey of NCD risk factors among 4,576 Palestinian adults aged ≥40 years old in Gaza; (ii) a modified Delphi process among local public health experts to identify potentially feasible new interventions; and (iii) reviews of intervention cost and effectiveness, modified to the Gazan and refugee contexts. The survey revealed 28.6% tobacco smoking, a 40.4% prevalence of hypertension diagnosis (with a 95.6% medication treatment rate), a 25.6% prevalence of diabetes diagnosis (with 95.3% on treatment), a 21.9% prevalence of dyslipidemia (with 79.6% on a statin), and a 9.8% prevalence of asthma or chronic obstructive pulmonary disease (without known treatment). A calibrated model estimated a loss of 9,516 DALYs per 10,000 population over the 10-year policy horizon. The interventions having an incremental cost-effectiveness ratio (ICER) less than three times the GDP per capita of Palestine per DALY averted (

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  • Sanjay Basu & John S Yudkin & Mohammed Jawad & Hala Ghattas & Bassam Abu Hamad & Zeina Jamaluddine & Gloria Safadi & Marie-Elizabeth Ragi & Raeda El Sayed Ahmad & Eszter P Vamos & Christopher Millett, 2024. "Reducing non-communicable diseases among Palestinian populations in Gaza: A participatory comparative and cost-effectiveness modeling assessment," PLOS Global Public Health, Public Library of Science, vol. 4(5), pages 1-16, May.
    • Handle: RePEc:plo:pgph00:0003168
    DOI: 10.1371/journal.pgph.0003168
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    1. Sanjay Basu & Jason Andrews, 2013. "Complexity in Mathematical Models of Public Health Policies: A Guide for Consumers of Models," PLOS Medicine, Public Library of Science, vol. 10(10), pages 1-6, October.
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