Cost-effectiveness of two long-lasting insecticidal nets delivery models in mass campaign in rural Mozambique

Jorge A H Arroz, B. Candrinho, Chandana Mendis, Melanie Lopez, MR Martins

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1 Citation (Scopus)


The aim is to compare the cost-effectiveness of two long-lasting insecticidal nets (LLINs) delivery models (standard vs new) in universal coverage (UC) campaigns in rural Mozambique.

The total financial cost of delivering LLINs was US$ 231,237.30 and US$ 174,790.14 in the intervention (302,648 LLINs were delivered) and control districts (219,613 LLINs were delivered), respectively. The average cost-effectiveness ratio (ACER) per LLIN delivered and ACER per household (HH) achieving UC was lower in the intervention districts. The incremental cost-effectiveness ratio (ICER) per LLIN and ICER per HH reaching UC were US$ 0.68 and US$ 2.24, respectively. Both incremental net benefit (for delivered LLIN and for HHs reaching UC) were positive (intervention deemed cost-effective). Overall, the newer delivery model was the more cost-effective intervention. However, the long-term sustainability of either delivery models is far from guaranteed in Mozambique’s current economic context.
Original languageEnglish
JournalBmc Research Notes
Issue number1
Publication statusPublished - 22 Aug 2019


  • Long-lasting insecticidal nets campaign
  • niversal health coverage
  • New and standard delivery model
  • Cost-effectiveness analysis
  • Malaria
  • Mozambique


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