Cost analysis of school-based intermittent screening and treatment of malaria in Kenya

Malaria Journal

Research

Kiambo Njagi¹  Katherine E Halliday²  Thomas L Drake²  Simon Brooker³  Lindsay Mangham⁴  Matthew CH Jukes⁵  George Okello⁶ 

[1] Division of Malaria Control, Ministry of Public Health & Sanitation, Nairobi, Kenya;Faculty of Infectious and Tropical Diseases, London School of Hygiene and Tropical Medicine, London, UK;Faculty of Infectious and Tropical Diseases, London School of Hygiene and Tropical Medicine, London, UK;Malaria Public Health & Epidemiology Group, Kenya Medical Research Institute-Wellcome Trust Collaborative Programme, Nairobi, Kenya;Faculty of Public Health and Policy, London School of Hygiene and Tropical Medicine, London, UK;Graduate School of Education, Harvard University, Cambridge, Massachusetts, USA;Malaria Public Health & Epidemiology Group, Kenya Medical Research Institute-Wellcome Trust Collaborative Programme, Nairobi, Kenya;

关键词: Malaria;    Rapid Diagnostic Test;    Intermittent Preventative Treatment;    Amodiaquine;    Malaria Parasitaemia;   

DOI  :  10.1186/1475-2875-10-273

 received in 2011-05-06, accepted in 2011-09-20,  发布年份 2011

来源: Springer

【 摘 要 】

BackgroundThe control of malaria in schools is receiving increasing attention, but there remains currently no consensus as to the optimal intervention strategy. This paper analyses the costs of intermittent screening and treatment (IST) of malaria in schools, implemented as part of a cluster-randomized controlled trial on the Kenyan coast.MethodsFinancial and economic costs were estimated using an ingredients approach whereby all resources required in the delivery of IST are quantified and valued. Sensitivity analysis was conducted to investigate how programme variation affects costs and to identify potential cost savings in the future implementation of IST.ResultsThe estimated financial cost of IST per child screened is US$ 6.61 (economic cost US$ 6.24). Key contributors to cost were salary costs (36%) and malaria rapid diagnostic tests (RDT) (22%). Almost half (47%) of the intervention cost comprises redeployment of existing resources including health worker time and use of hospital vehicles. Sensitivity analysis identified changes to intervention delivery that can reduce programme costs by 40%, including use of alternative RDTs and removal of supervised treatment. Cost-effectiveness is also likely to be highly sensitive to the proportion of children found to be RDT-positive.ConclusionIn the current context, school-based IST is a relatively expensive malaria intervention, but reducing the complexity of delivery can result in considerable savings in the cost of intervention.(Costs are reported in US$ 2010).

【 授权许可】

CC BY   
© Drake et al; licensee BioMed Central Ltd. 2011