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

doi:10.21203/rs.2.12474/v1

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

Research output: Contribution to journal › Article › peer-review

5 Citations (Scopus)

16 Downloads (Pure)

Abstract

Objective
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.

Results
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 language	English
Journal	BMC Research Notes
Volume	12
Issue number	1
DOIs	https://doi.org/10.21203/rs.2.12474/v1
Publication status	Published - 22 Aug 2019

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

SDG 3 Good Health and Well-being

Keywords

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

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Cost-effectiveness of two long-lasting insecticidal netsFinal published version, 98.9 KBLicence: CC BY

Cite this

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

abstract = "Objective 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. Results 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{\textquoteright}s current economic context.",

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month = aug,

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doi = "10.21203/rs.2.12474/v1",

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T1 - Cost-effectiveness of two long-lasting insecticidal nets delivery models in mass campaign in rural Mozambique

AU - Arroz, Jorge A H

AU - Candrinho, B.

AU - Mendis, Chandana

AU - Lopez, Melanie

AU - Martins, MR

PY - 2019/8/22

Y1 - 2019/8/22

N2 - Objective 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. Results 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.

AB - Objective 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. Results 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.

KW - Long-lasting insecticidal nets campaign

KW - niversal health coverage

KW - New and standard delivery model

KW - Cost-effectiveness analysis

KW - Malaria

KW - Mozambique

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DO - 10.21203/rs.2.12474/v1

M3 - Article

VL - 12

JO - BMC Research Notes

JF - BMC Research Notes

IS - 1

ER -

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

Abstract

UN SDGs

Keywords

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