Relative costs and effectiveness of treating uncomplicated malaria in two rural districts in Zambia: implications for nationwide scale-up of home-based management
Abstract 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 v...
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ftdoajarticles:oai:doaj.org/article:d04c8f4e379a45099480a0b465756515 2023-05-15T15:07:51+02:00 Relative costs and effectiveness of treating uncomplicated malaria in two rural districts in Zambia: implications for nationwide scale-up of home-based management Banda Patrick Chalwe Victor Moonga Hawela B Hamainza Busiku Chanda Pascalina Pagnoni Franco 2011-06-01T00:00:00Z https://doi.org/10.1186/1475-2875-10-159 https://doaj.org/article/d04c8f4e379a45099480a0b465756515 EN eng BMC http://www.malariajournal.com/content/10/1/159 https://doaj.org/toc/1475-2875 doi:10.1186/1475-2875-10-159 1475-2875 https://doaj.org/article/d04c8f4e379a45099480a0b465756515 Malaria Journal, Vol 10, Iss 1, p 159 (2011) Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 article 2011 ftdoajarticles https://doi.org/10.1186/1475-2875-10-159 2022-12-31T04:48:20Z Abstract 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. 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 Banda Patrick Chalwe Victor Moonga Hawela B Hamainza Busiku Chanda Pascalina Pagnoni Franco Relative costs and effectiveness of treating uncomplicated malaria in two rural districts in Zambia: implications for nationwide scale-up of home-based management |
topic_facet |
Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 |
description |
Abstract 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. |
format |
Article in Journal/Newspaper |
author |
Banda Patrick Chalwe Victor Moonga Hawela B Hamainza Busiku Chanda Pascalina Pagnoni Franco |
author_facet |
Banda Patrick Chalwe Victor Moonga Hawela B Hamainza Busiku Chanda Pascalina Pagnoni Franco |
author_sort |
Banda Patrick |
title |
Relative costs and effectiveness of treating uncomplicated malaria in two rural districts in Zambia: implications for nationwide scale-up of home-based management |
title_short |
Relative costs and effectiveness of treating uncomplicated malaria in two rural districts in Zambia: implications for nationwide scale-up of home-based management |
title_full |
Relative costs and effectiveness of treating uncomplicated malaria in two rural districts in Zambia: implications for nationwide scale-up of home-based management |
title_fullStr |
Relative costs and effectiveness of treating uncomplicated malaria in two rural districts in Zambia: implications for nationwide scale-up of home-based management |
title_full_unstemmed |
Relative costs and effectiveness of treating uncomplicated malaria in two rural districts in Zambia: implications for nationwide scale-up of home-based management |
title_sort |
relative costs and effectiveness of treating uncomplicated malaria in two rural districts in zambia: implications for nationwide scale-up of home-based management |
publisher |
BMC |
publishDate |
2011 |
url |
https://doi.org/10.1186/1475-2875-10-159 https://doaj.org/article/d04c8f4e379a45099480a0b465756515 |
geographic |
Arctic |
geographic_facet |
Arctic |
genre |
Arctic |
genre_facet |
Arctic |
op_source |
Malaria Journal, Vol 10, Iss 1, p 159 (2011) |
op_relation |
http://www.malariajournal.com/content/10/1/159 https://doaj.org/toc/1475-2875 doi:10.1186/1475-2875-10-159 1475-2875 https://doaj.org/article/d04c8f4e379a45099480a0b465756515 |
op_doi |
https://doi.org/10.1186/1475-2875-10-159 |
container_title |
Malaria Journal |
container_volume |
10 |
container_issue |
1 |
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1766339261485809664 |