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Costs and cost-effectiveness of Malaria control interventions: a systematic literature review

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  • Conteh, Lesong
  • Shuford, Kathryn
  • Agboraw, Efundem
  • Kont, Mara
  • Kolaczinski, Jan
  • Patouillard, Edith

Abstract

Objectives: To systematically review the literature on the unit cost and cost-effectiveness of malaria control. Methods: Ten databases and gray literature sources were searched to identify evidence relevant to the period 2005 to 2018. Studies with primary financial or economic cost data from malaria endemic countries that took a provider, provider and household, or societal perspective were included. Results: We identified 103 costing studies. The majority of studies focused on individual rather than combined interventions, notably insecticide-treated bed nets and treatment, and commonly took a provider perspective. A third of all studies took place in 3 countries. The median provider economic cost of protecting 1 person per year ranged from $1.18 to $5.70 with vector control and from $0.53 to $5.97 with chemoprevention. The median provider economic cost per case diagnosed with rapid diagnostic tests was $6.06 and per case treated $9.31 or $89.93 depending on clinical severity. Other interventions did not share enough similarities to be summarized. Cost drivers were rarely reported. Cost-effectiveness of malaria control was reiterated, but care in methodological and reporting standards is required to enhance data transferability. Conclusions: Important information that can support resource allocation was reviewed. Given the variability in methods and reporting, global efforts to follow existing standards are required for the evidence to be most useful outside their study context, supplemented by guidance on options for transferring existing data across settings.

Suggested Citation

  • Conteh, Lesong & Shuford, Kathryn & Agboraw, Efundem & Kont, Mara & Kolaczinski, Jan & Patouillard, Edith, 2021. "Costs and cost-effectiveness of Malaria control interventions: a systematic literature review," LSE Research Online Documents on Economics 112779, London School of Economics and Political Science, LSE Library.
  • Handle: RePEc:ehl:lserod:112779
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    References listed on IDEAS

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    1. Natasha Howard & Lorna Guinness & Mark Rowland & Naeem Durrani & Kristian S Hansen, 2017. "Cost-effectiveness of adding indoor residual spraying to case management in Afghan refugee settlements in Northwest Pakistan during a prolonged malaria epidemic," PLOS Neglected Tropical Diseases, Public Library of Science, vol. 11(10), pages 1-18, October.
    2. Kristian Schultz Hansen & Siân E Clarke & Sham Lal & Pascal Magnussen & Anthony K Mbonye, 2017. "Cost-effectiveness analysis of introducing malaria diagnostic testing in drug shops: A cluster-randomised trial in Uganda," PLOS ONE, Public Library of Science, vol. 12(12), pages 1-18, December.
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    Cited by:

    1. Lucy C. Okell & Titus K. Kwambai & Aggrey Dhabangi & Carole Khairallah & Thandile Nkosi-Gondwe & Peter Winskill & Robert Opoka & Andria Mousa & Melf-Jakob Kühl & Tim C. D. Lucas & Joseph D. Challenger, 2023. "Projected health impact of post-discharge malaria chemoprevention among children with severe malarial anaemia in Africa," Nature Communications, Nature, vol. 14(1), pages 1-10, December.
    2. Elisa Sicuri & Francesco Ramponi & Iris Lopes-Rafegas & Francisco Saúte, 2022. "A broader perspective on the economics of malaria prevention and the potential impact of SARS-CoV-2," Nature Communications, Nature, vol. 13(1), pages 1-3, December.

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      More about this item

      Keywords

      cost-effectiveness; disease control interventions; malaria; unit cost;
      All these keywords.

      JEL classification:

      • E6 - Macroeconomics and Monetary Economics - - Macroeconomic Policy, Macroeconomic Aspects of Public Finance, and General Outlook

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