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Impact and efficiency of the integration of diagnosis and treatment of pneumonia in the community management of malaria in Madagascar
[Impact et efficience de l’intégration du diagnostic et du traitement de la pneumonie dans la prise en charge communautaire du paludisme à Madagascar]

Author

Listed:
  • Marilys Victoire Razakamanana

    (CERDI - Centre d'Études et de Recherches sur le Développement International - UCA [2017-2020] - Université Clermont Auvergne [2017-2020] - CNRS - Centre National de la Recherche Scientifique, Institut Pasteur de Madagascar - RIIP - Réseau International des Instituts Pasteur)

  • Martine Audibert

    (CERDI - Centre d'Études et de Recherches sur le Développement International - UCA [2017-2020] - Université Clermont Auvergne [2017-2020] - CNRS - Centre National de la Recherche Scientifique)

  • Voahirana Tantely Andrianantoandro

    (Université catholique de Madagascar - UCM - Université catholique de Madagascar)

  • Aina Harimanana

    (Institut Pasteur de Madagascar - RIIP - Réseau International des Instituts Pasteur)

Abstract

In 2014, a program integrating the diagnosis and treatment of pneumonia into malaria community case management was implemented in Madagascar. Its objective was to improve the accessibility to care by the use of community health workers (CHWs). This paper aimed to assess the effectiveness and the efficiency of this program. Two districts were taken into account: Andapa, which received only basic activities (control), and Antalaha, where all activities were implemented (treated). Impact analysis based on the difference in difference methodology and cost-effectiveness analysis were made. The program had significant impact on pneumonia and malaria case management. The cost-effectiveness analysis demonstrated that the cost per case of additional malaria and pneumonia treated by CHWs was between 8.66 and 9.68 USD.

Suggested Citation

  • Marilys Victoire Razakamanana & Martine Audibert & Voahirana Tantely Andrianantoandro & Aina Harimanana, 2020. "Impact and efficiency of the integration of diagnosis and treatment of pneumonia in the community management of malaria in Madagascar [Impact et efficience de l’intégration du diagnostic et du trai," Post-Print halshs-02016710, HAL.
    • Handle: RePEc:hal:journl:halshs-02016710
    Note: View the original document on HAL open archive server: https://shs.hal.science/halshs-02016710
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