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Cost-Effectiveness of Long-Lasting Insecticide-Treated Hammocks in Preventing Malaria in South-Central Vietnam

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Listed:
  • Chantal M Morel
  • Ngo Duc Thang
  • Annette Erhart
  • Nguyen Xuan Xa
  • Koen Peeters Grietens
  • Le Xuan Hung
  • Le Khan Thuan
  • Pham Van Ky
  • Nguyen Manh Hung
  • Marc Coosemans
  • Umberto D'Alessandro
  • Anne Mills

Abstract

Background: Despite much success in reducing the burden of malaria in Vietnam, pockets of malaria persist and eliminating them remains an important development goal. In central Vietnam, insecticide-treated hammocks have recently been introduced to help counter the disease in the highly forested, mountainous areas, where other measures have so far been unsuccessful. This study assesses the cost-effectiveness of using long-lasting insecticide-treated hammocks in this area. Methods and Findings: This cost-effectiveness study was run alongside a randomized control trial testing the efficacy of the long-lasting insecticide-treated hammocks. Data were collected through an exit survey, a household survey, expenditure records and key informant interviews. The study estimates that under normal (non-trial) conditions the total net societal cost per malaria episode averted in using long-lasting insecticide-treated hammocks in this area was 126 USD. Cost per hammock, including insecticidal netting, sewing, transport, and distribution was found to be approximately 11.76 USD per hammock. Average savings per episode averted were estimated to be $14.60 USD for the health system and 14.37 USD for households (including both direct and indirect cost savings). The study estimates that the annual financial outlay required of government to implement this type of programme to be 3.40 USD per person covered per year. Conclusion: The study finds that the use of a hammock intervention could represent good value for money to help prevent malaria in more remote areas, where traditional control measures such as insecticide-treated bednets and indoor residual spraying are insufficient or inappropriate to control malaria. However, the life span of the hammock–the number of years over which it effectively deters mosquitoes–has a significant impact on the cost-effectiveness of the intervention and study results should be interpreted in light of the evidence on effectiveness gathered in the years to come.

Suggested Citation

  • Chantal M Morel & Ngo Duc Thang & Annette Erhart & Nguyen Xuan Xa & Koen Peeters Grietens & Le Xuan Hung & Le Khan Thuan & Pham Van Ky & Nguyen Manh Hung & Marc Coosemans & Umberto D'Alessandro & Anne, 2013. "Cost-Effectiveness of Long-Lasting Insecticide-Treated Hammocks in Preventing Malaria in South-Central Vietnam," PLOS ONE, Public Library of Science, vol. 8(3), pages 1-8, March.
    • Handle: RePEc:plo:pone00:0058205
    DOI: 10.1371/journal.pone.0058205
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    1. Morel, Chantal M. & Ngo Duc, Thang & Nguyen, Xuan Xa & Le Xuan, Hung & Le Khan, Thuan & Pham, Van Ky & Erhart, Annette & Mills, Anne J. & D'Alessandro, Umberto, 2008. "The economic burden of malaria on the household in south-central Vietnam," LSE Research Online Documents on Economics 28558, London School of Economics and Political Science, LSE Library.
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    Cited by:

    1. Bach Xuan Tran & Vuong Minh Nong & Rachel Marie Maher & Phuong Khanh Nguyen & Hoat Ngoc Luu, 2014. "A Systematic Review of Scope and Quality of Health Economic Evaluation Studies in Vietnam," PLOS ONE, Public Library of Science, vol. 9(8), pages 1-12, August.
    2. Frank Pega & Nick Wilson, 2016. "A Systematic Review of Health Economic Analyses of Housing Improvement Interventions and Insecticide-Treated Bednets in the Home," PLOS ONE, Public Library of Science, vol. 11(6), pages 1-29, June.

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