Cost-effectiveness analysis of two strategies for malaria control in the urban area of
Keywords:
cost-benefit analysis, malaria, health promotion, primary prevention, health education
Abstract
Introduction. Costs and results of two alternatives for malaria control were compared. One constituted by the activities of the National Programme, the other by the integration of an educational strategy denominated "Integrated Alternative" (IA) into the national program in Buenaventura on the Pacific Coast of Colombia.Objective. To evaluate the cost-effectiveness of two alternatives for malaria control in the urban area of Buenaventura.
Materials and methods. A cost-effectiveness analysis was carried out from an institutional and household perspective. Institutional costs were obtained by reviewing records of institutions that implemented each alternative; household costs were obtained from interviews. Effectiveness measurement was the number of averted cases per 10.000 inhabitants.
Results. Institutional costs of National Programme and Integrated Alternative were US$3,766 and US$24,932.8 respectively. Average household cost in the zone where National Programme was implemented was US$36.2, while in the zone where IA was applied it was US$28.4. The number of averted cases per 10,000 inhabitants was 12.9 (CI95%-6.0;31.8) for National Programme and 264.6 (CI95%254.1;275.1) for Integrated Alternative. The institutional costeffectiveness ratios of National Programme and Integrated Alternative were US$292.4 and US$92.2, respectively.
Conclusion. Integration of the educational strategy into the National Programme was the most cost-effective alternative. Our data suggest that the educational strategy should be added to the National Programme activities.
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References
1. Carrasquilla G, Banguero M, Sánchez P, Carvajal F, Barker RH Jr, Gervais GW, et al. Epidemiologic tools for malaria surveillance in an urban setting of low endemicity along the Colombian Pacific coast. Am J Trop Med Hyg 2000;62:132-7.
2. Méndez F, Carrasquilla G. Epidemiología de la malaria en el área urbana de Buenaventura: análisis de la ocurrencia en el periodo 1987-1993. Colomb Med 1995;26:77-85.
3. Méndez F, Carrasquilla G, Muñoz A. Risk factors associated with malaria infection in an urban setting. Trans R Soc Trop Med Hyg 2000;94:367-71.
4. Méndez F. Epidemiología de la malaria en el Valle del Cauca 1987-1998. Cali: Boletín Epidemiológico Departamento del Valle del Cauca. Gobernación del Valle del Cauca; 1999;1:1-11.
5. Drummond MF, Sculpher MJ, Torrance GW, O'Brien BJ, Stoddart GL. Methods for the economic evaluation of health careprogrammes. Third Edition. Oxford: Oxford Medical Publications; 2005.
6. DANE. Resumen Nacional Censo 1993. Sistema de consulta del XVI Censo Nacional de Población y Vivienda. Santafé de Bogotá: Departamento Nacional de Estadística; 1996.
7. Pyndick R, Rubinfield D. Econometric models and economic forecasts. 4th edition: New York: Mc Graw-Hill; 1997.
8. Sheskin D. Handbook of parametric and nonparametric statistical procedures. Second edition: Boca Ratón, FL: CRC Press; 2000.
9. Rojas W, Botero S, García H. An integrated malaria control program with community participation on the Pacific Coast of Colombia. Cad Saúde Publica 2001;17:103-13.
10. Sharma SN, Saxena NB, Phukan PK, Anjan JK, Pandya AP, Lal S. Impact assessment of IEC campaign during anti-malaria month, June 1998 through KABP study. J Commun Dis 2000;32:49-53.
11. Kroeger A, Meyer R, Mancheno M, González M. Health education for community-based malaria control: an intervention study in Ecuador, Colombia and Nicaragua. Trop Med Int Health 1996;1:836-46.
12. Marsh VM, Mutemi W, Some ES, Haaland A, Snow RW. Evaluating the community education programme of an insecticide-treated bed net trial on the Kenyan coast. Health Policy Plan 1996;11:280-91.
13. Konradsen F, van der Hoek W, Amerasinghe PH, Amerasinghe FP. Measuring the economic cost of malaria to households in Sri Lanka. Am J Trop Med Hyg 1997;56:656-60.
14. Attanayake N, Fox-Rushby J, Mills A. Household costs of ‘malaria' morbidity: a study in Matale district, Sri Lanka. Trop Med Int Health 2000;5:595-606.
15. Ettling MB, Shepard DS. Economic cost of malaria in Rwanda. Trop Med Parasitol 1991;42:214-8.
16. Sauerborn R, Shepard DS, Ettling MB, Brinkmann U, Nougtara A, Diesfeld HJ. Estimating the direct and indirect economic costs of malaria in a rural district of Burkina Faso. Trop Med Parasitol 1991;42:219-23.
17. Asenso-Okyere W, Dzator J. Household cost of seeking malaria care. A retrospective study of two districts in Ghana. Soc Sci Med 1997;45:659-67.
18. Ruíz W, Kroeger A. The socio-economic impact of malaria in Colombia and Ecuador. Health Policy Plan 1994;9:144-54.
2. Méndez F, Carrasquilla G. Epidemiología de la malaria en el área urbana de Buenaventura: análisis de la ocurrencia en el periodo 1987-1993. Colomb Med 1995;26:77-85.
3. Méndez F, Carrasquilla G, Muñoz A. Risk factors associated with malaria infection in an urban setting. Trans R Soc Trop Med Hyg 2000;94:367-71.
4. Méndez F. Epidemiología de la malaria en el Valle del Cauca 1987-1998. Cali: Boletín Epidemiológico Departamento del Valle del Cauca. Gobernación del Valle del Cauca; 1999;1:1-11.
5. Drummond MF, Sculpher MJ, Torrance GW, O'Brien BJ, Stoddart GL. Methods for the economic evaluation of health careprogrammes. Third Edition. Oxford: Oxford Medical Publications; 2005.
6. DANE. Resumen Nacional Censo 1993. Sistema de consulta del XVI Censo Nacional de Población y Vivienda. Santafé de Bogotá: Departamento Nacional de Estadística; 1996.
7. Pyndick R, Rubinfield D. Econometric models and economic forecasts. 4th edition: New York: Mc Graw-Hill; 1997.
8. Sheskin D. Handbook of parametric and nonparametric statistical procedures. Second edition: Boca Ratón, FL: CRC Press; 2000.
9. Rojas W, Botero S, García H. An integrated malaria control program with community participation on the Pacific Coast of Colombia. Cad Saúde Publica 2001;17:103-13.
10. Sharma SN, Saxena NB, Phukan PK, Anjan JK, Pandya AP, Lal S. Impact assessment of IEC campaign during anti-malaria month, June 1998 through KABP study. J Commun Dis 2000;32:49-53.
11. Kroeger A, Meyer R, Mancheno M, González M. Health education for community-based malaria control: an intervention study in Ecuador, Colombia and Nicaragua. Trop Med Int Health 1996;1:836-46.
12. Marsh VM, Mutemi W, Some ES, Haaland A, Snow RW. Evaluating the community education programme of an insecticide-treated bed net trial on the Kenyan coast. Health Policy Plan 1996;11:280-91.
13. Konradsen F, van der Hoek W, Amerasinghe PH, Amerasinghe FP. Measuring the economic cost of malaria to households in Sri Lanka. Am J Trop Med Hyg 1997;56:656-60.
14. Attanayake N, Fox-Rushby J, Mills A. Household costs of ‘malaria' morbidity: a study in Matale district, Sri Lanka. Trop Med Int Health 2000;5:595-606.
15. Ettling MB, Shepard DS. Economic cost of malaria in Rwanda. Trop Med Parasitol 1991;42:214-8.
16. Sauerborn R, Shepard DS, Ettling MB, Brinkmann U, Nougtara A, Diesfeld HJ. Estimating the direct and indirect economic costs of malaria in a rural district of Burkina Faso. Trop Med Parasitol 1991;42:219-23.
17. Asenso-Okyere W, Dzator J. Household cost of seeking malaria care. A retrospective study of two districts in Ghana. Soc Sci Med 1997;45:659-67.
18. Ruíz W, Kroeger A. The socio-economic impact of malaria in Colombia and Ecuador. Health Policy Plan 1994;9:144-54.
How to Cite
1.
Girón SL, Mateus JC, Castellar CE. Cost-effectiveness analysis of two strategies for malaria control in the urban area of. biomedica [Internet]. 2006 Sep. 1 [cited 2024 May 17];26(3):379-86. Available from: https://revistabiomedica.org/index.php/biomedica/article/view/356
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