The costs and effects of a nationwide insecticide-treated net programme: the case of Malawi
Abstract 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...
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ftdoajarticles:oai:doaj.org/article:1654c481a4d04728a42855e849454f6b 2023-05-15T15:06:29+02:00 The costs and effects of a nationwide insecticide-treated net programme: the case of Malawi Ortiz Juan Wiseman Virginia Stevens Warren Chavasse Desmond 2005-05-01T00:00:00Z https://doi.org/10.1186/1475-2875-4-22 https://doaj.org/article/1654c481a4d04728a42855e849454f6b EN eng BMC http://www.malariajournal.com/content/4/1/22 https://doaj.org/toc/1475-2875 doi:10.1186/1475-2875-4-22 1475-2875 https://doaj.org/article/1654c481a4d04728a42855e849454f6b Malaria Journal, Vol 4, Iss 1, p 22 (2005) Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 article 2005 ftdoajarticles https://doi.org/10.1186/1475-2875-4-22 2022-12-31T00:28:41Z Abstract 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. Article in Journal/Newspaper Arctic Directory of Open Access Journals: DOAJ Articles Arctic Malaria Journal 4 1 22 |
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Directory of Open Access Journals: DOAJ Articles |
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English |
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Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 |
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Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 Ortiz Juan Wiseman Virginia Stevens Warren Chavasse Desmond The costs and effects of a nationwide insecticide-treated net programme: the case of Malawi |
topic_facet |
Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 |
description |
Abstract 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. |
format |
Article in Journal/Newspaper |
author |
Ortiz Juan Wiseman Virginia Stevens Warren Chavasse Desmond |
author_facet |
Ortiz Juan Wiseman Virginia Stevens Warren Chavasse Desmond |
author_sort |
Ortiz Juan |
title |
The costs and effects of a nationwide insecticide-treated net programme: the case of Malawi |
title_short |
The costs and effects of a nationwide insecticide-treated net programme: the case of Malawi |
title_full |
The costs and effects of a nationwide insecticide-treated net programme: the case of Malawi |
title_fullStr |
The costs and effects of a nationwide insecticide-treated net programme: the case of Malawi |
title_full_unstemmed |
The costs and effects of a nationwide insecticide-treated net programme: the case of Malawi |
title_sort |
costs and effects of a nationwide insecticide-treated net programme: the case of malawi |
publisher |
BMC |
publishDate |
2005 |
url |
https://doi.org/10.1186/1475-2875-4-22 https://doaj.org/article/1654c481a4d04728a42855e849454f6b |
geographic |
Arctic |
geographic_facet |
Arctic |
genre |
Arctic |
genre_facet |
Arctic |
op_source |
Malaria Journal, Vol 4, Iss 1, p 22 (2005) |
op_relation |
http://www.malariajournal.com/content/4/1/22 https://doaj.org/toc/1475-2875 doi:10.1186/1475-2875-4-22 1475-2875 https://doaj.org/article/1654c481a4d04728a42855e849454f6b |
op_doi |
https://doi.org/10.1186/1475-2875-4-22 |
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Malaria Journal |
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4 |
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1 |
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22 |
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1766338087928987648 |