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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
immunology and microbiology
The costs and effects of a nationwide insecticide-treated net programme: The case of Malawi
Malaria Journal, Volume 4, Article 22, Year 2005
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Description
Background: Insecticide-treated nets (ITNs) are a proven intervention to reduce the burden of malaria, yet there remains a debate as to the best method of ensuring they are universally utilized. This study is a cost-effectiveness analysis of an intervention in Malawi that started in 1998, in Blantyre district, before expanding nationwide. Over the 5-year period, 1.5 million ITNs were sold. Methods: The costs were calculated retrospectively through analysis of expenditure data. Costs and effects were measured as cost per treated-net year (cost/TNY) and cost per net distributed. Results: The mean cost/TNY was calculated at $4.41, and the mean cost/ITN distributed at $2.63. It also shows evidence of economies of scale, with the cost/TNY falling from $7.69 in year one (72,196 ITN) to $3.44 in year five (720,577 ITN). Cost/ITN distributed dropped from $5.04 to $1.92. Conclusion: Combining targeting and social marketing has the potential of being both cost-effective and capable of achieving high levels of coverage, and it is possible that increasing returns to scale can be achieved. © 2005 Stevens et al; licensee BioMed Central Ltd.
Authors & Co-Authors
Stevens, Warren
Unknown Affiliation
Wiseman, Virginia
Unknown Affiliation
Ortiz, Juan
Unknown Affiliation
Chavasse, Desmond C.
Unknown Affiliation
Statistics
Citations: 64
Authors: 4
Affiliations: 5
Identifiers
Doi:
10.1186/1475-2875-4-22
ISSN:
14752875
e-ISSN:
14752875
Research Areas
Health System And Policy
Infectious Diseases
Study Design
Randomised Control Trial
Study Locations
Malawi