Cost-effectiveness of two long-lasting insecticidal nets delivery models in mass campaign in rural Mozambique

作     者：Arroz, Jorge A. H. Candrinho, Baltazar Mendis, Chandana Lopez, Melanie Martins, Maria do Rosario O. 

作者机构：World Vis Int Maputo Mozambique Natl Malaria Control Programme Maputo Mozambique World Vis Inc Federal Way WA USA Univ Nova Lisboa GHTM IHMT Rua Junqueira 100 P-1349008 Lisbon Portugal 

出 版 物：《BMC RESEARCH NOTES》 (BMC研究笔记)

年 卷 期：2019年第12卷第1期

页      面：578-578页

学科分类：0710[理学-生物学] 12[管理学] 1204[管理学-公共管理] 120402[管理学-社会医学与卫生事业管理(可授管理学、医学学位)] 1004[医学-公共卫生与预防医学(可授医学、理学学位)] 10[医学] 

基　　金：LLIN universal coverage campaign in Mozambique of Global Fund to Fight AIDS  Tuberculosis  and Malaria 

主　　题：Long-lasting insecticidal nets campaign Universal health coverage New and standard delivery model Cost-effectiveness analysis Malaria Mozambique 

摘      要：Objective The aim is to compare the cost-effectiveness of two long-lasting insecticidal nets (LLINs) delivery models (standard vs. new) in universal coverage (UC) campaigns in rural Mozambique. Results The total financial cost of delivering LLINs was US$ 231,237.30 and US$ 174,790.14 in the intervention (302,648 LLINs were delivered) and control districts (219,613 LLINs were delivered), respectively. The average cost-effectiveness ratio (ACER) per LLIN delivered and ACER per household (HH) achieving UC was lower in the intervention districts. The incremental cost-effectiveness ratio (ICER) per LLIN and ICER per HH reaching UC were US$ 0.68 and US$ 2.24, respectively. Both incremental net benefit (for delivered LLIN and for HHs reaching UC) were positive (intervention deemed cost-effective). Overall, the newer delivery model was the more cost-effective intervention. However, the long-term sustainability of either delivery models is far from guaranteed in Mozambique s current economic context.