The Cascade Analysis Tool for Continuum of Care Analytics
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World Bank, Washington, DC
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This brief provides a description of the
Cascade Analysis Tool (CAT) and a summary of an early
application of the tool in Poltava Region, central Ukraine.
The CAT is a mathematical model with a generic, flexible
framework which means different types of service delivery
cascades can be analyzed. The tool makes practical use of
the increasing quantities of data on the costs, coverage,
and impact of health and development interventions. By
integrating various data types, it adds value to current
analytics, and provides additional decision support. The
objective of the CAT application in Poltava Region was to
estimate the costs of providing diabetes care in this
region, and the most cost-effective ways to address the main
breakpoints in the care continuum - diagnosis and glucose
control. The analysis demonstrated that targeted investments
to improve case detection and treatment adherence are the
most efficient interventions for improved diabetes outcomes
in Poltava Region. Quantitative tools which capture service
delivery and outcomes like the CAT provide decision support
and evaluation for prioritizing investment into services
which close the gaps in implementation.
Palabras clave
DIABETES, CONTINUUM OF CARE, CASCADE ANALYSIS