PMID: 9447642Feb 3, 1998Paper

The Gambian National Impregnated Bednet Programme: costs, consequences and net cost-effectiveness

Social Science & Medicine
M K AikinsA Mills

Abstract

Clinical trials have indicated that treating mosquito nets with insecticide could be a potentially cost-effective method of preventing malaria. As malaria is one of the most common causes of death in children under five in developing countries, there has been substantial interest in whether such findings can be replicated for a country's control programme in practice. The cost-effectiveness of the Gambian National Insecticide-impregnated Bednet Programme (NIBP), from the viewpoint of providers (government and non-governmental agencies) and the community, has been calculated. Information was collected from existing records, interviews with NIBP personnel, observation and household surveys. Information is provided on the resource use consequences of the NIBP in terms of reduced expenditure on anti-malaria preventive measures, treatment in government health services, household financed treatment and "charity" (burial, funeral and mourning activities), as well as cash income lost as a result of child death. The annual implementation cost of the NIBP was D757,875 (US$91,864), of which 86% was recurrent cost. The estimated number of death averted was 40.56. The net implementation cost-effectiveness ratio per death averted and discoun...Continue Reading

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Citations

Apr 15, 2009·Journal of Community Health·Phoebe C M WilliamsJohn Hall
Sep 11, 2002·The Lancet Infectious Diseases·Philippe J GuerinNicholas J White
Oct 24, 2000·Tropical Medicine & International Health : TM & IH·H M BijlT S van der Werf
May 10, 2002·Tropical Medicine & International Health : TM & IH·Fred Nuwaha
Aug 9, 2002·Tropical Medicine & International Health : TM & IH·Jürg UtzingerBurton H Singer
Feb 7, 2001·BMJ : British Medical Journal·U D'Alessandro
May 12, 2005·Malaria Journal·Warren StevensDesmond Chavasse
Dec 19, 2008·Malaria Journal·Joshua O YukichBrian Sharp
Apr 22, 2008·Malaria Journal·Julia N GoeschMartin P Grobusch
Apr 1, 2009·Malaria Journal·Joshua O YukichChristian Lengeler
May 15, 2009·International Journal of Environmental Research and Public Health·Anil Markandya, Aline Chiabai
Mar 24, 2006·Tropical Medicine & International Health : TM & IH·V WisemanW Stevens
Nov 4, 2004·Social Science & Medicine·Nassor KikumbihJoanna Armstrong Schellenberg
Jan 14, 2018·EcoHealth·Laura C FalzonMarnie L Brennan

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