Intervention strategies to reduce the burden of non-communicable diseases in Mexico: cost effectiveness analysisBMJ 2012; 344 doi: https://doi.org/10.1136/bmj.e355 (Published 02 March 2012) Cite this as: BMJ 2012;344:e355
All rapid responses
Re: Intervention strategies to reduce the burden of non-communicable diseases in Mexico: cost effectiveness analysis
The findings of this study are applicable within the Kenyan context in which a System for Social Protection in Health is yet to be adopted. In addition, since Kenya, as well as majority of most African countries, is currently faced with the double burden of disease of communicable and non communicable diseases, a cost-effectiveness analysis of such a policy will provide an evidence-based platform for the adoption of the policy in Kenya with best practices learnt from Mexico as indicated by the authors. This is because Kenya’s GDP is almost similar to the one in Mexico. Moreover, the proportion of the population without access to social security is similarly to that of Mexico which is above 50%.
My recent study on cost-effectiveness analysis of maternal health services in rural Kenya, indicated cost- effectiveness of maternal health interventions but it did not take into account the non-communicable diseases which is very useful especially in Kenya heavily burdened by high prevalence of cancer in women (breast and cervical cancer).
The issue of System of Social Protection in Health in Kenya is long overdue as all the structures are ready; the only problem is on its justification for implementation and overall management. Moreover there is no evidence on whether these incremental costs are worth it in Kenya especially with the high corruption rate in the current public health insurance management system.
In my opinion, this study is actually a master piece with potential contribution in health economics.
Caroline Akinyi: email@example.com
Competing interests: No competing interests