Cost effectiveness and resource allocation of Plasmodium falciparum malaria control in Myanmar: a modelling analysis of bed nets and community health workers
Background: Funding for malaria control and elimination in Myanmar has increased markedly in recent years. While there are various malaria control tools currently available, two interventions receive the majority of malaria control funding in Myanmar: (1) insecticide-treated bed nets and (2) early...
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th-mahidol.30882023-03-31T00:19:51Z Cost effectiveness and resource allocation of Plasmodium falciparum malaria control in Myanmar: a modelling analysis of bed nets and community health workers Drake, Tom L. Kyaw, Shwe Sin Kyaw, Myat Phone Smithuis, Frank M. Day, Nicholas P. J. White, Lisa J. Yoel Lubell Mahidol University. Faculty of Tropical Medicine. Mahidol-Oxford Tropical Medicine Research Unit Open Access article Malaria Economic Cost Cost effectiveness Policy Resource allocation Background: Funding for malaria control and elimination in Myanmar has increased markedly in recent years. While there are various malaria control tools currently available, two interventions receive the majority of malaria control funding in Myanmar: (1) insecticide-treated bed nets and (2) early diagnosis and treatment through malaria community health workers. This study aims to provide practical recommendations on how to maximize impact from investment in these interventions. Methods: A simple decision tree is used to model intervention costs and effects in terms of years of life lost. The evaluation is from the perspective of the service provider and costs and effects are calculated in line with standard methodology. Sensitivity and scenario analysis are undertaken to identify key drivers of cost effectiveness. Standard cost effectiveness analysis is then extended via a spatially explicit resource allocation model. Findings: Community health workers have the potential for high impact on malaria, particularly where there are few alternatives to access malaria treatment, but are relatively costly. Insecticide-treated bed nets are comparatively inexpensive and modestly effective in Myanmar, representing a low risk but modest return intervention. Unlike some healthcare interventions, bed nets and community health workers are not mutually exclusive nor are they necessarily at their most efficient when universally applied. Modelled resource allocation scenarios highlight that in this case there is no “one size fits all” cost effectiveness result. Health gains will be maximized by effective targeting of both interventions. 2017-11-09T03:23:42Z 2017-11-09T03:23:42Z 2017-11-09 2015 Research Article Malaria Journal. Vol.14, (2015), 376 10.1186/s12936-015-0886-x https://repository.li.mahidol.ac.th/handle/123456789/3088 eng Mahidol University BioMed Central application/pdf |
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Open Access article Malaria Economic Cost Cost effectiveness Policy Resource allocation Drake, Tom L. Kyaw, Shwe Sin Kyaw, Myat Phone Smithuis, Frank M. Day, Nicholas P. J. White, Lisa J. Yoel Lubell Cost effectiveness and resource allocation of Plasmodium falciparum malaria control in Myanmar: a modelling analysis of bed nets and community health workers |
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Background: Funding for malaria control and elimination in Myanmar has increased markedly in recent years. While
there are various malaria control tools currently available, two interventions receive the majority of malaria control
funding in Myanmar: (1) insecticide-treated bed nets and (2) early diagnosis and treatment through malaria community
health workers. This study aims to provide practical recommendations on how to maximize impact from investment
in these interventions.
Methods: A simple decision tree is used to model intervention costs and effects in terms of years of life lost. The
evaluation is from the perspective of the service provider and costs and effects are calculated in line with standard
methodology. Sensitivity and scenario analysis are undertaken to identify key drivers of cost effectiveness. Standard
cost effectiveness analysis is then extended via a spatially explicit resource allocation model.
Findings: Community health workers have the potential for high impact on malaria, particularly where there are
few alternatives to access malaria treatment, but are relatively costly. Insecticide-treated bed nets are comparatively
inexpensive and modestly effective in Myanmar, representing a low risk but modest return intervention. Unlike some
healthcare interventions, bed nets and community health workers are not mutually exclusive nor are they necessarily
at their most efficient when universally applied. Modelled resource allocation scenarios highlight that in this case
there is no “one size fits all” cost effectiveness result. Health gains will be maximized by effective targeting of both
interventions. |
author2 |
Mahidol University. Faculty of Tropical Medicine. Mahidol-Oxford Tropical Medicine Research Unit |
author_facet |
Mahidol University. Faculty of Tropical Medicine. Mahidol-Oxford Tropical Medicine Research Unit Drake, Tom L. Kyaw, Shwe Sin Kyaw, Myat Phone Smithuis, Frank M. Day, Nicholas P. J. White, Lisa J. Yoel Lubell |
format |
Article |
author |
Drake, Tom L. Kyaw, Shwe Sin Kyaw, Myat Phone Smithuis, Frank M. Day, Nicholas P. J. White, Lisa J. Yoel Lubell |
author_sort |
Drake, Tom L. |
title |
Cost effectiveness and resource allocation of Plasmodium falciparum malaria control in Myanmar: a modelling analysis of bed nets and community health workers |
title_short |
Cost effectiveness and resource allocation of Plasmodium falciparum malaria control in Myanmar: a modelling analysis of bed nets and community health workers |
title_full |
Cost effectiveness and resource allocation of Plasmodium falciparum malaria control in Myanmar: a modelling analysis of bed nets and community health workers |
title_fullStr |
Cost effectiveness and resource allocation of Plasmodium falciparum malaria control in Myanmar: a modelling analysis of bed nets and community health workers |
title_full_unstemmed |
Cost effectiveness and resource allocation of Plasmodium falciparum malaria control in Myanmar: a modelling analysis of bed nets and community health workers |
title_sort |
cost effectiveness and resource allocation of plasmodium falciparum malaria control in myanmar: a modelling analysis of bed nets and community health workers |
publishDate |
2017 |
url |
https://repository.li.mahidol.ac.th/handle/123456789/3088 |
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1763492109776584704 |