Malaria Elimination 4 Costs and financial feasibility of malaria elimination

Article

关键词: HEALTH-CARE;    IMMUNIZATION SERVICES;    ECONOMIC-EVALUATION;    ERADICATION;    POLIOMYELITIS;    THERAPY;    IMPACT;    SOUTH;    RISK;   

DOI  :  10.1016/S0140-6736(10)61355-4

来源: SCIE

【 摘 要 】

The marginal costs and benefits of converting malaria programmes from a control to an elimination goal are central to strategic decisions, but empirical evidence is scarce. We present a conceptual framework to assess the economics of elimination and analyse a central component of that framework potential short-term to medium-term financial savings. After a review that showed a dearth of existing evidence, the net present value of elimination in five sites was calculated and compared with effective control. The probability that elimination would be cost-saving over SO years ranged from 0% to 42%, with only one site achieving cost-savings in the base case. These findings show that financial savings should not be a primary rationale for elimination, but that elimination might still be a worthy investment if total benefits are sufficient to outweigh marginal costs. Robust research into these elimination benefits is urgently needed.

【 授权许可】

Free