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Cost Effectiveness of Malaria Interventions from Preelimination through Elimination: a Study in Iran.

Rezaei-Hemami M, Akbari-Sari A, Raiesi A, Vatandoost H, Majdzadeh R - J Arthropod Borne Dis (2013)

Bottom Line: The effect of each intervention was estimated using the documentary evidence available and expert opinions.The most cost-effective interventions were insecticide treated net (ITN), larviciding, surveillance for diagnosis and treatment of patients less than 24 hours, and indoor residual spraying (IRS) respectively, No related evidence found for the effectiveness of the border facilities.However ITN is the most cost effective intervention among the available interventions.

View Article: PubMed Central - PubMed

Affiliation: Department of Epidemiology and Biostatistics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran.

ABSTRACT

Background: Malaria still is considered as a public health problem in Iran. The aim of the National Malaria Control Department is to reach the elimination by 2024. By decreasing the number of malaria cases in preelimination phase the cost effectiveness of malaria interventions decreases considerably. This study estimated the cost effectiveness of various strategies to combat malaria in preelimination and elimination phases in Iran.

Methods: running costs of the interventions at each level of intervention was estimated by using evidence and expert opinions. The effect of each intervention was estimated using the documentary evidence available and expert opinions. Using a point estimate and distribution of each variable the sensitivity was evaluated with the Monte Carlo method.

Results: The most cost-effective interventions were insecticide treated net (ITN), larviciding, surveillance for diagnosis and treatment of patients less than 24 hours, and indoor residual spraying (IRS) respectively, No related evidence found for the effectiveness of the border facilities.

Conclusion: This study showed that interventions in the elimination phase of malaria have low cost effectiveness in Iran like many other countries. However ITN is the most cost effective intervention among the available interventions.

No MeSH data available.


Related in: MedlinePlus

Changes of cost effectiveness of different strategies with changes of malaria incidence
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f2-jad-8-43: Changes of cost effectiveness of different strategies with changes of malaria incidence

Mentions: IRS (Indoor Residual Spraying), ITN (Insecticide Treated Net), API (Annual Parasite Incidence). The most cost-effective interventions, were the use of insecticide-treated nets, larviciding, diagnosis and treatment in less than 24 hours and indoor residual spraying (Table 3, Fig. 2) along with the changes made in the cost effectiveness as the incident of the disease declines over time are shown. As shown in the Fig. 2, the cost per averted cases increases considerably as the number of affected cases decreases.


Cost Effectiveness of Malaria Interventions from Preelimination through Elimination: a Study in Iran.

Rezaei-Hemami M, Akbari-Sari A, Raiesi A, Vatandoost H, Majdzadeh R - J Arthropod Borne Dis (2013)

Changes of cost effectiveness of different strategies with changes of malaria incidence
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4289510&req=5

f2-jad-8-43: Changes of cost effectiveness of different strategies with changes of malaria incidence
Mentions: IRS (Indoor Residual Spraying), ITN (Insecticide Treated Net), API (Annual Parasite Incidence). The most cost-effective interventions, were the use of insecticide-treated nets, larviciding, diagnosis and treatment in less than 24 hours and indoor residual spraying (Table 3, Fig. 2) along with the changes made in the cost effectiveness as the incident of the disease declines over time are shown. As shown in the Fig. 2, the cost per averted cases increases considerably as the number of affected cases decreases.

Bottom Line: The effect of each intervention was estimated using the documentary evidence available and expert opinions.The most cost-effective interventions were insecticide treated net (ITN), larviciding, surveillance for diagnosis and treatment of patients less than 24 hours, and indoor residual spraying (IRS) respectively, No related evidence found for the effectiveness of the border facilities.However ITN is the most cost effective intervention among the available interventions.

View Article: PubMed Central - PubMed

Affiliation: Department of Epidemiology and Biostatistics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran.

ABSTRACT

Background: Malaria still is considered as a public health problem in Iran. The aim of the National Malaria Control Department is to reach the elimination by 2024. By decreasing the number of malaria cases in preelimination phase the cost effectiveness of malaria interventions decreases considerably. This study estimated the cost effectiveness of various strategies to combat malaria in preelimination and elimination phases in Iran.

Methods: running costs of the interventions at each level of intervention was estimated by using evidence and expert opinions. The effect of each intervention was estimated using the documentary evidence available and expert opinions. Using a point estimate and distribution of each variable the sensitivity was evaluated with the Monte Carlo method.

Results: The most cost-effective interventions were insecticide treated net (ITN), larviciding, surveillance for diagnosis and treatment of patients less than 24 hours, and indoor residual spraying (IRS) respectively, No related evidence found for the effectiveness of the border facilities.

Conclusion: This study showed that interventions in the elimination phase of malaria have low cost effectiveness in Iran like many other countries. However ITN is the most cost effective intervention among the available interventions.

No MeSH data available.


Related in: MedlinePlus