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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
Relative costs and effectiveness of treating uncomplicated malaria in two rural districts in Zambia: Implications for nationwide scale-up of home-based management
Malaria Journal, Volume 10, Article 159, Year 2011
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Description
Background: Malaria case management is one of the key strategies to control malaria. Various studies have demonstrated the feasibility of home management of malaria (HMM). However, data on the costs and effectiveness of artemisinin-based combination therapy (ACT) and rapid diagnostic tests via HMM is limited. Method. Cost-effectiveness of home management versus health facility-based management of uncomplicated malaria in two rural districts in Zambia was analysed from a providers' perspective. The sample included 16 community health workers (CHWs) and 15 health facilities. The outcome measure was the cost per case appropriately diagnosed and treated. Costs of scaling-up HMM nationwide were estimated based on the CHW utilisation rates observed in the study. Results: HMM was more cost effective than facility-based management of uncomplicated malaria. The cost per case correctly diagnosed and treated was USD 4.22 for HMM and USD 6.12 for facility level. Utilization and adherence to diagnostic and treatment guidelines was higher in HMM than at a health facility. Conclusion: HMM using ACT and RDTs was more efficient at appropriately diagnosing and treating malaria than the health facility level. Scaling up this intervention requires significant investments. © 2011 Chanda et al; licensee BioMed Central Ltd.
Authors & Co-Authors
Chanda-Kapata, Pascalina
Zambia, Lusaka
Zambian Ministry of Health
Hamainza, Busiku
Zambia, Lusaka
National Malaria Control Centre
Moonga, Hawela B.
Zambia, Lusaka
National Malaria Control Centre
Chalwe, Victor
Zambia, Ndola
Tropical Diseases Research Centre
Banda, Patrick
Zambia, Lusaka
Zambian Ministry of Health
Pagnoni, Franco
Switzerland, Geneva
Organisation Mondiale de la Santé
Statistics
Citations: 64
Authors: 6
Affiliations: 4
Identifiers
Doi:
10.1186/1475-2875-10-159
e-ISSN:
14752875
Research Areas
Health System And Policy
Infectious Diseases
Study Design
Randomised Control Trial
Study Locations
Zambia