Cost analysis of school-based intermittent screening and treatment of malaria in Kenya
Abstract Background The control of malaria in schools is receiving increasing attention, but there remains currently no consensus as to the optimal intervention strategy. This paper analyses the costs of intermittent screening and treatment (IST) of malaria in schools, implemented as part of a clust...
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ftdoajarticles:oai:doaj.org/article:5a0c14315f754d4aa811430a9c76380e 2023-05-15T15:09:48+02:00 Cost analysis of school-based intermittent screening and treatment of malaria in Kenya Jukes Matthew CH Halliday Katherine E Njagi Kiambo Okello George Drake Thomas L Mangham Lindsay Brooker Simon 2011-09-01T00:00:00Z https://doi.org/10.1186/1475-2875-10-273 https://doaj.org/article/5a0c14315f754d4aa811430a9c76380e EN eng BMC http://www.malariajournal.com/content/10/1/273 https://doaj.org/toc/1475-2875 doi:10.1186/1475-2875-10-273 1475-2875 https://doaj.org/article/5a0c14315f754d4aa811430a9c76380e Malaria Journal, Vol 10, Iss 1, p 273 (2011) Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 article 2011 ftdoajarticles https://doi.org/10.1186/1475-2875-10-273 2022-12-31T05:18:14Z Abstract Background The control of malaria in schools is receiving increasing attention, but there remains currently no consensus as to the optimal intervention strategy. This paper analyses the costs of intermittent screening and treatment (IST) of malaria in schools, implemented as part of a cluster-randomized controlled trial on the Kenyan coast. Methods Financial and economic costs were estimated using an ingredients approach whereby all resources required in the delivery of IST are quantified and valued. Sensitivity analysis was conducted to investigate how programme variation affects costs and to identify potential cost savings in the future implementation of IST. Results The estimated financial cost of IST per child screened is US$ 6.61 (economic cost US$ 6.24). Key contributors to cost were salary costs (36%) and malaria rapid diagnostic tests (RDT) (22%). Almost half (47%) of the intervention cost comprises redeployment of existing resources including health worker time and use of hospital vehicles. Sensitivity analysis identified changes to intervention delivery that can reduce programme costs by 40%, including use of alternative RDTs and removal of supervised treatment. Cost-effectiveness is also likely to be highly sensitive to the proportion of children found to be RDT-positive. Conclusion In the current context, school-based IST is a relatively expensive malaria intervention, but reducing the complexity of delivery can result in considerable savings in the cost of intervention. (Costs are reported in US$ 2010). Article in Journal/Newspaper Arctic Directory of Open Access Journals: DOAJ Articles Arctic Malaria Journal 10 1 |
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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 Jukes Matthew CH Halliday Katherine E Njagi Kiambo Okello George Drake Thomas L Mangham Lindsay Brooker Simon Cost analysis of school-based intermittent screening and treatment of malaria in Kenya |
topic_facet |
Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 |
description |
Abstract Background The control of malaria in schools is receiving increasing attention, but there remains currently no consensus as to the optimal intervention strategy. This paper analyses the costs of intermittent screening and treatment (IST) of malaria in schools, implemented as part of a cluster-randomized controlled trial on the Kenyan coast. Methods Financial and economic costs were estimated using an ingredients approach whereby all resources required in the delivery of IST are quantified and valued. Sensitivity analysis was conducted to investigate how programme variation affects costs and to identify potential cost savings in the future implementation of IST. Results The estimated financial cost of IST per child screened is US$ 6.61 (economic cost US$ 6.24). Key contributors to cost were salary costs (36%) and malaria rapid diagnostic tests (RDT) (22%). Almost half (47%) of the intervention cost comprises redeployment of existing resources including health worker time and use of hospital vehicles. Sensitivity analysis identified changes to intervention delivery that can reduce programme costs by 40%, including use of alternative RDTs and removal of supervised treatment. Cost-effectiveness is also likely to be highly sensitive to the proportion of children found to be RDT-positive. Conclusion In the current context, school-based IST is a relatively expensive malaria intervention, but reducing the complexity of delivery can result in considerable savings in the cost of intervention. (Costs are reported in US$ 2010). |
format |
Article in Journal/Newspaper |
author |
Jukes Matthew CH Halliday Katherine E Njagi Kiambo Okello George Drake Thomas L Mangham Lindsay Brooker Simon |
author_facet |
Jukes Matthew CH Halliday Katherine E Njagi Kiambo Okello George Drake Thomas L Mangham Lindsay Brooker Simon |
author_sort |
Jukes Matthew CH |
title |
Cost analysis of school-based intermittent screening and treatment of malaria in Kenya |
title_short |
Cost analysis of school-based intermittent screening and treatment of malaria in Kenya |
title_full |
Cost analysis of school-based intermittent screening and treatment of malaria in Kenya |
title_fullStr |
Cost analysis of school-based intermittent screening and treatment of malaria in Kenya |
title_full_unstemmed |
Cost analysis of school-based intermittent screening and treatment of malaria in Kenya |
title_sort |
cost analysis of school-based intermittent screening and treatment of malaria in kenya |
publisher |
BMC |
publishDate |
2011 |
url |
https://doi.org/10.1186/1475-2875-10-273 https://doaj.org/article/5a0c14315f754d4aa811430a9c76380e |
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Arctic |
geographic_facet |
Arctic |
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Arctic |
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Arctic |
op_source |
Malaria Journal, Vol 10, Iss 1, p 273 (2011) |
op_relation |
http://www.malariajournal.com/content/10/1/273 https://doaj.org/toc/1475-2875 doi:10.1186/1475-2875-10-273 1475-2875 https://doaj.org/article/5a0c14315f754d4aa811430a9c76380e |
op_doi |
https://doi.org/10.1186/1475-2875-10-273 |
container_title |
Malaria Journal |
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10 |
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1 |
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1766340916007665664 |