Table 1 Cost components of the malaria control program at the national and district levels
Items | Components | Sources |
|---|---|---|
I-Total cost of the NMCP from 2009 to 2013 | ||
Expenditure breakdown | WMR: 2009–2013 [30] | |
A-Common costs reallocated proportionately to B and C activities | Planning, management, overhead Human resources and training Supply management Infrastructure and equipment Monitoring and evaluation Other | |
B- Preventive strategy | ITNs (nets) IRS (insecticides and spray equipment) Communication and advocacy | |
C- Treatment strategy | Diagnostic tests: mRDTs and microscopy Antimalarial medicines | |
II- Total cost of the malaria prevention program at the district level | ||
Average annual cost of ITNs for the NMCP | Authors’ estimation: Annual cost of ITNs from WMR 2009 to 2013 WMR 2013: Targeted population at the national and district levels | |
D- ITN intervention | Total annual cost of ITNs for HFs Management and overhead Human resources Supply management Infrastructure and recurrent expenditures | Authors’ HF survey 2014: Brickaville: 1 hospital and 5 PHFs Ankazobe: 1 hospital and 4 PHFs District data: Number of HFs in the district |
Total annual cost of ITNs for HHs Cost of nets Other attributable costs to acquire nets | Authors’ HH survey 2014 Brickaville: 405 HHs (2,165 individuals) Ankazobe: 398 HHs (2,093 individuals) District data: Number of HFs in the district | |
E- IRS intervention | Average annual cost of IRS for the NMCP | Authors’ estimation: Annual cost of IRS from 2009 to 2013 WMR 2013: Targeted population at national and district levels |
Total annual cost of IRS for HFs Management and overhead Human resources Supply management Infrastructure and recurrent expenditures | Authors’ HF survey 2014: Brickaville: 1 hospital and 5 PHFs Ankazobe: 1 hospital and 4 PHFs District data: Number of HFs in the district | |
Total annual cost of IRS for HHs Attributable cost to benefit from IRS | Authors’ HH survey 2014 Brickaville: 405 HHs (2,165 individuals) Ankazobe: 398 HHs (2,093 individuals) District data: Number of HHs in the district | |
III-Cost of persons protected and DALYs averted at the district level | ||
F-Number of persons protected at the district level | Npp through ITNs Npp through IRS | Case–control study 2014 Brickaville: 33 cases/331 controls Ankazobe: 180 cases/601 controls |
G- Number of malaria cases at the district level | Number of uncomplicated cases Number of complicated cases | [30] |
H- DALYs averted | Number of deaths averted Number of mild, moderate and severe malaria cases averted | Case–control study 2014 Brickaville: 33 cases/331 controls Ankazobe: 180 cases/601 controls |
I-Mean treatment cost of uncomplicated cases at HFs | Direct cost Health care personnel Consumables Medicines Indirect cost: Capital and recurrent expenditures | Authors’ HF survey, 2014 Brickaville: 5 PHFs Ankazobe: 4 PHFs Using ingredient approach with top-down methodology |
J- Mean treatment cost of complicated cases at HFs | Direct cost Health care personnel Consumables Medicines Indirect cost Capital and recurrent expenditures | Authors’ HF survey, 2014 Brickaville: 1 hospital Ankazobe: 1 hospital Using ingredient approach with top-down methodology |
K-Mean treatment cost of uncomplicated cases for HHs | Direct cost Consultation fees Drugs Indirect cost: Transport, meals, other | Authors’ HH survey, 2014 Brickaville: 405 HHs (2,165 individuals) Ankazobe: 398 HHs (2,093 individuals) |
L-Mean treatment cost of complicated cases for HHs | Direct cost Hospitalization Consumables Drugs Indirect cost Transport, meals, other | Authors’ HH survey, 2014 Brickaville: 405 HHs (2,165 individuals) Ankazobe: 398 HHs (2,093 individuals) |