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Malaria and Economic Evaluation Methods: Challenges and Opportunities

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  • Tom L. Drake

    (Myanmar Oxford Clinical Research Unit
    University of Oxford)

  • Yoel Lubell

    (University of Oxford
    Mahidol University)

Abstract

There is a growing evidence base on the cost effectiveness of malaria interventions. However, certain characteristics of malaria decision problems present a challenge to the application of healthcare economic evaluation methods. This paper identifies five such challenges. The complexities of (i) declining incidence and cost effectiveness in the context of an elimination campaign; (ii) international aid and its effect on resource constraints; and (iii) supranational priority setting, all affect how health economists might use a cost-effectiveness threshold. Consensus and guidance on how to determine and interpret cost-effectiveness thresholds in the context of internationally financed elimination campaigns is greatly needed. (iv) Malaria interventions are often complimentary and evaluations may need to construct intervention bundles to represent relevant policy positions as sets of mutually exclusive alternatives. (v) Geographic targeting is a key aspect of malaria policy making that is only beginning to be addressed in economic evaluations. An approach to budget-based geographic resource allocation is described in an accompanying paper in this issue and addresses some of these methodological challenges.

Suggested Citation

  • Tom L. Drake & Yoel Lubell, 2017. "Malaria and Economic Evaluation Methods: Challenges and Opportunities," Applied Health Economics and Health Policy, Springer, vol. 15(3), pages 291-297, June.
    • Handle: RePEc:spr:aphecp:v:15:y:2017:i:3:d:10.1007_s40258-016-0304-8
    DOI: 10.1007/s40258-016-0304-8
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    References listed on IDEAS

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    1. Tom L. Drake & Yoel Lubell & Shwe Sin Kyaw & Angela Devine & Myat Phone Kyaw & Nicholas P. J. Day & Frank M. Smithuis & Lisa J. White, 2017. "Geographic Resource Allocation Based on Cost Effectiveness: An Application to Malaria Policy," Applied Health Economics and Health Policy, Springer, vol. 15(3), pages 299-306, June.
    2. Halliday, Katherine E. & Okello, George & Turner, Elizabeth L. & Njagi, Kiambo & Mcharo, Carlos & Kengo, Juddy & Allen, Elizabeth & Dubeck, Margaret M. & Jukes, Matthew C.H. & Brooker, Simon J., 2014. "Impact of intermittent screening and treatment for malaria among school children in Kenya : a cluster randomized trial," Policy Research Working Paper Series 6791, The World Bank.
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    1. Tom L. Drake & Yoel Lubell & Shwe Sin Kyaw & Angela Devine & Myat Phone Kyaw & Nicholas P. J. Day & Frank M. Smithuis & Lisa J. White, 2017. "Geographic Resource Allocation Based on Cost Effectiveness: An Application to Malaria Policy," Applied Health Economics and Health Policy, Springer, vol. 15(3), pages 299-306, June.

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