Cost of malaria control in Sri Lanka

F Konradsen; P Steele; D Perera; W van der Hoek; P H Amerasinghe; F P Amerasinghe

Cost of malaria control in Sri Lanka

F Konradsen, P Steele, D Perera, W van der Hoek, P H Amerasinghe, F P Amerasinghe

Publikation: Bidrag til tidsskrift › Tidsskriftartikel › Forskning › peer review

27 Citationer (Scopus)

Abstract

Udgivelsesdato: 1999-null

Originalsprog	Engelsk
Tidsskrift	Bulletin of the World Health Organization
Vol/bind	77
Udgave nummer	4
Sider (fra-til)	301-9
Antal sider	8
ISSN	0042-9686
Status	Udgivet - 1999

Bibliografisk note

Keywords: Capital Expenditures; Community Health Centers; Cost-Benefit Analysis; Costs and Cost Analysis; Health Care Costs; Humans; Malaria; Mosquito Control; Sri Lanka

Citationsformater

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title = "Cost of malaria control in Sri Lanka",

abstract = "The study provides estimates of the cost of various malaria control measures in an area of North-Central Province of Sri Lanka where the disease is endemic. We assumed that each measure was equally effective. In these terms, impregnating privately purchased bednets with insecticide was estimated to cost Rs 48 (US(40.87) per individual protected per year, less than half the cost of spraying houses with residual insecticides. Larviciding of vector breeding sites and especially the elimination of breeding habitats by flushing streams through seasonal release of water from upstream reservoirs was estimated to be cheaper than other preventive measures (Rs 27 (US$ 0.49) and Rs 13 (US$ 0.24) per individual protected, respectively). Inclusion of both operational and capital costs of treatment indicates that the most cost-effective intervention for the government was a centrally located hospital with a relatively large catchment area (Rs 71 (US$ 1.29) per malaria case treated). Mobile clinics (Rs 153 (US$ 2.78) per malaria case treated) and a village treatment centre (Rs 112 (US$ 2.04)) per malaria case treated) were more expensive options for the government, but were considerably cheaper for households than the traditional hospital facilities. This information can guide health planners and government decision-makers in choosing the most appropriate combination of curative and preventive measures to control malaria. However, the option that is cheapest for the government may not be so for the householders, and further studies are needed to estimate the effectiveness of the various preventive measures.",

author = "F Konradsen and P Steele and D Perera and {van der Hoek}, W and Amerasinghe, {P H} and Amerasinghe, {F P}",

note = "Keywords: Capital Expenditures; Community Health Centers; Cost-Benefit Analysis; Costs and Cost Analysis; Health Care Costs; Humans; Malaria; Mosquito Control; Sri Lanka",

year = "1999",

language = "English",

volume = "77",

pages = "301--9",

journal = "Bulletin of the World Health Organization",

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T1 - Cost of malaria control in Sri Lanka

AU - Konradsen, F

AU - Steele, P

AU - Perera, D

AU - van der Hoek, W

AU - Amerasinghe, P H

AU - Amerasinghe, F P

N1 - Keywords: Capital Expenditures; Community Health Centers; Cost-Benefit Analysis; Costs and Cost Analysis; Health Care Costs; Humans; Malaria; Mosquito Control; Sri Lanka

PY - 1999

Y1 - 1999

N2 - The study provides estimates of the cost of various malaria control measures in an area of North-Central Province of Sri Lanka where the disease is endemic. We assumed that each measure was equally effective. In these terms, impregnating privately purchased bednets with insecticide was estimated to cost Rs 48 (US(40.87) per individual protected per year, less than half the cost of spraying houses with residual insecticides. Larviciding of vector breeding sites and especially the elimination of breeding habitats by flushing streams through seasonal release of water from upstream reservoirs was estimated to be cheaper than other preventive measures (Rs 27 (US$ 0.49) and Rs 13 (US$ 0.24) per individual protected, respectively). Inclusion of both operational and capital costs of treatment indicates that the most cost-effective intervention for the government was a centrally located hospital with a relatively large catchment area (Rs 71 (US$ 1.29) per malaria case treated). Mobile clinics (Rs 153 (US$ 2.78) per malaria case treated) and a village treatment centre (Rs 112 (US$ 2.04)) per malaria case treated) were more expensive options for the government, but were considerably cheaper for households than the traditional hospital facilities. This information can guide health planners and government decision-makers in choosing the most appropriate combination of curative and preventive measures to control malaria. However, the option that is cheapest for the government may not be so for the householders, and further studies are needed to estimate the effectiveness of the various preventive measures.

AB - The study provides estimates of the cost of various malaria control measures in an area of North-Central Province of Sri Lanka where the disease is endemic. We assumed that each measure was equally effective. In these terms, impregnating privately purchased bednets with insecticide was estimated to cost Rs 48 (US(40.87) per individual protected per year, less than half the cost of spraying houses with residual insecticides. Larviciding of vector breeding sites and especially the elimination of breeding habitats by flushing streams through seasonal release of water from upstream reservoirs was estimated to be cheaper than other preventive measures (Rs 27 (US$ 0.49) and Rs 13 (US$ 0.24) per individual protected, respectively). Inclusion of both operational and capital costs of treatment indicates that the most cost-effective intervention for the government was a centrally located hospital with a relatively large catchment area (Rs 71 (US$ 1.29) per malaria case treated). Mobile clinics (Rs 153 (US$ 2.78) per malaria case treated) and a village treatment centre (Rs 112 (US$ 2.04)) per malaria case treated) were more expensive options for the government, but were considerably cheaper for households than the traditional hospital facilities. This information can guide health planners and government decision-makers in choosing the most appropriate combination of curative and preventive measures to control malaria. However, the option that is cheapest for the government may not be so for the householders, and further studies are needed to estimate the effectiveness of the various preventive measures.

M3 - Journal article

C2 - 10327708

VL - 77

SP - 301

EP - 309

JO - Bulletin of the World Health Organization

JF - Bulletin of the World Health Organization

SN - 0042-9686

IS - 4

ER -