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/ 0 2 2 2 0 i i 2 6 V : Additional file 5: Tables and additional details of the cost-effectiveness methods and results of sensitivity analysis
Table 1: Results of a literature review on the cost of delivering ITNs and LLINs: studies in sub-Saharan Africa since 2005 (all figures in US$)
Economic CostChannel of deliveryCountryYearSourceCost of delivery*Commodity Cost
(3 year life)*Total (Delivery + Commodity)*Cost per
/ year of availability (year of protection)**Cost of delivery**Antenatal clinics
(with charges for nets)Burkina Faso2006 ADDIN EN.CITE De Allegri20103347[25]3347334717De Allegri, M.Marschall, P.Flessa, S.Tiendrebeogo, J.Kouyate, B.Jahn, A.Muller, O.Department of Tropical Hygiene and Public Health, University of Heidelberg, INF 324, 69120 Heidelberg, Germany. manuela.de.allegri@urz.uni-heidelberg.deComparative cost analysis of insecticide-treated net delivery strategies: sales supported by social marketing and free distribution through antenatal careHealth Policy PlanHealth Policy PlanHealth policy and planning28-382512009/09/16Burkina Faso*CommerceCosts and Cost Analysis/methodsFemaleHumans*InsecticidesMosquito Nets/*economics/supply & distributionPregnancy*Prenatal Care*Social Marketing2010Jan1460-2237 (Electronic)
0268-1080 (Linking)19752178http://www.ncbi.nlm.nih.gov/pubmed/19752178czp031 [pii]
10.1093/heapol/czp031eng[ HYPERLINK \l "_ENREF_24" \o "De Allegri, 2010 #3347" 24]3.685.188.863.333.91Kenya (WHO)2007 ADDIN EN.CITE WHO20093356[29]3356335627WHOWHOCosting of PSI Kenya ITN program: Report of a concultation draft 3 20092009Geneva[ HYPERLINK \l "_ENREF_28" \o "WHO, 2009 #3356" 28]2.526.178.693.172.60Malawi2005 ADDIN EN.CITE Stevens20051268[22]1268126817Stevens, W.Wiseman, V.Ortiz, J.Chavasse, D.MRC Laboratories, PO Box 273, Banjul, The Gambia. wstevens@mrc.gmThe costs and effects of a nationwide insecticide-treated net programme: the case of MalawiMalar JMalar JMalaria journal22412005/05/12AnimalsBedding and Linens/*economicsCost-Benefit AnalysisGovernment Programs/*economicsHumansInsecticides/administration & dosage/economicsMalaria, Falciparum/*prevention & controlMalawiMosquito Control/*economics/methodsProgram EvaluationRetrospective Studies20051475-2875 (Electronic)15885143http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&dopt=Citation&list_uids=158851431475-2875-4-22 [pii]
10.1186/1475-2875-4-22eng[ HYPERLINK \l "_ENREF_21" \o "Stevens, 2005 #1268" 21]1.012.193.201.241.11Tanzania2005 ADDIN EN.CITE ADDIN EN.CITE.DATA [ HYPERLINK \l "_ENREF_22" \o "Yukich, 2008 #3337" 22]2.063.405.462.122.26Malawi2005 ADDIN EN.CITE ADDIN EN.CITE.DATA [ HYPERLINK \l "_ENREF_22" \o "Yukich, 2008 #3337" 22]0.701.542.240.870.77Antenatal clinics
(nets provided free)DRC2006 ADDIN EN.CITE ADDIN EN.CITE.DATA [ HYPERLINK \l "_ENREF_25" \o "Becker-Dreps, 2009 #3353" 25]1.518.009.513.571.61Kenya2008 ADDIN EN.CITE WHO20093356[29]3356335627WHOWHOCosting of PSI Kenya ITN program: Report of a concultation draft 3 20092009Geneva[ HYPERLINK \l "_ENREF_28" \o "WHO, 2009 #3356" 28]1.975.207.172.571.99Uganda2007 ADDIN EN.CITE ADDIN EN.CITE.DATA [ HYPERLINK \l "_ENREF_18" \o "Kolaczinski, 2010 #3332" 18]2.275.267.532.752.35Zanzibar2005 ADDIN EN.CITE WHO20093354[27]3354335427WHOWHOCosting of the Zanzibar Malaria Control Program ITN program: Report of a concultation 20092009Geneva[ HYPERLINK \l "_ENREF_26" \o "WHO, 2009 #3354" 26]2.076.528.593.332.27Mass campaign
(nets provided free)Uganda2007 ADDIN EN.CITE ADDIN EN.CITE.DATA [ HYPERLINK \l "_ENREF_18" \o "Kolaczinski, 2010 #3332" 18]1.235.746.972.551.27Uganda2007 ADDIN EN.CITE ADDIN EN.CITE.DATA [ HYPERLINK \l "_ENREF_18" \o "Kolaczinski, 2010 #3332" 18]0.765.266.022.200.79Uganda200506 ADDIN EN.CITE WHO20093355[28]3355335527WHOWHOCosting of the Uganda ITN activities: Report of a concultation 20092009Geneva[ HYPERLINK \l "_ENREF_27" \o "WHO, 2009 #3355" 27]1.055.806.852.661.15Uganda200809 ADDIN EN.CITE WHO20093355[28]3355335527WHOWHOCosting of the Uganda ITN activities: Report of a concultation 20092009Geneva[ HYPERLINK \l "_ENREF_27" \o "WHO, 2009 #3355" 27]1.245.636.872.461.25Zanzibar200506 ADDIN EN.CITE WHO20093354[27]3354335427WHOWHOCosting of the Zanzibar Malaria Control Program ITN program: Report of a concultation 20092009Geneva[ HYPERLINK \l "_ENREF_26" \o "WHO, 2009 #3354" 26]1.596.528.113.151.75Zanzibar200809 ADDIN EN.CITE WHO20093354[27]3354335427WHOWHOCosting of the Zanzibar Malaria Control Program ITN program: Report of a concultation 20092009Geneva[ HYPERLINK \l "_ENREF_26" \o "WHO, 2009 #3354" 26]1.626.137.752.771.64Togo2004 ADDIN EN.CITE Mueller20083340[20]3340334017Mueller, D. H.Wiseman, V.Bakusa, D.Morgah, K.Dare, A.Tchamdja, P.Health Economics and Financing Programme, Department of Public Health and Policy, London School of Hygiene and Tropical Medicine, Keppel St., London WC1E 7HT, UK. Dirk.Mueller@lshtm.ac.ukCost-effectiveness analysis of insecticide-treated net distribution as part of the Togo Integrated Child Health CampaignMalar JMalar JMalaria journal7372008/05/01Bedding and Linens/*economicsChildCost-Benefit AnalysisDelivery of Health Care, IntegratedHealth Promotion/*economicsHumansIncidenceInsecticides/administration & dosage/*economicsMalaria/*economics/epidemiology/mortality/*prevention & controlMeasles/prevention & controlMosquito Control/*economics/methodsTogo20081475-2875 (Electronic)
1475-2875 (Linking)18445255http://www.ncbi.nlm.nih.gov/pubmed/1844525523966471475-2875-7-73 [pii]
10.1186/1475-2875-7-73eng[ HYPERLINK \l "_ENREF_19" \o "Mueller, 2008 #3340" 19]1.254.325.572.231.42Eritrea2005 ADDIN EN.CITE Yukich20093342[24]3342334217Yukich, J. O.Zerom, M.Ghebremeskel, T.Tediosi, F.Lengeler, C.Swiss Tropical Institute, P,O, Box, 4002 Basel, Switzerland. joshua.yukich@unibas.chCosts and cost-effectiveness of vector control in Eritrea using insecticide-treated bed netsMalar JMalar JMalaria journal5182009/04/01Bedding and Linens/*economicsCost-Benefit AnalysisEritrea/epidemiologyHumansInsect Bites and Stings/prevention & controlInsecticides/adverse effects/*economicsMalaria/epidemiology/prevention & control/transmissionMosquito Control/*economics/methodsNational Health Programs/economicsProtective Devices/*economics20091475-2875 (Electronic)
1475-2875 (Linking)19331664http://www.ncbi.nlm.nih.gov/pubmed/1933166426703151475-2875-8-51 [pii]
10.1186/1475-2875-8-51eng[ HYPERLINK \l "_ENREF_23" \o "Yukich, 2009 #3342" 23]1.471.362.831.101.61Ghana2002 ADDIN EN.CITE ADDIN EN.CITE.DATA [ HYPERLINK \l "_ENREF_17" \o "Grabowsky, 2005 #1258" 17]0.323.423.741.580.38Tanzania2009 ADDIN EN.CITE ADDIN EN.CITE.DATA [ HYPERLINK \l "_ENREF_29" \o "Bonner, 2011 #3999" 29]1.835.247.072.501.83Retail salesBurkina Faso2006 ADDIN EN.CITE WHO20093354[27]3354335427WHOWHOCosting of the Zanzibar Malaria Control Program ITN program: Report of a concultation 20092009Geneva[ HYPERLINK \l "_ENREF_26" \o "WHO, 2009 #3354" 26]3.695.138.823.313.92Kenya2008 ADDIN EN.CITE WHO20093356[29]3356335627WHOWHOCosting of PSI Kenya ITN program: Report of a concultation draft 3 20092009Geneva[ HYPERLINK \l "_ENREF_28" \o "WHO, 2009 #3356" 28]2.065.207.262.602.08Tanzania2006 ADDIN EN.CITE ADDIN EN.CITE.DATA [ HYPERLINK \l "_ENREF_22" \o "Yukich, 2008 #3337" 22]4.662.987.642.874.95Senegal2005 ADDIN EN.CITE ADDIN EN.CITE.DATA [ HYPERLINK \l "_ENREF_22" \o "Yukich, 2008 #3337" 22]3.643.99Median Value2.571.64*Nominal US$; **2009 US$
Table 2: Results of one-way sensitivity analysis
VariableBaseline ValueChangeResult After change cost per DALYInterpretation (Cost-effective according to CMH guidelines)JustificationDiscount Rate3%Raised to 10%Increased from USD 111 to USD 118Cost-effectiveRepresents a high discount rate for standard health economic analysisNumber of discounted lives Saved by ITNs (2006-2009)475,826Reduced to 326,233Increased from USD 111 to USD 162 Cost-effectiveLowest estimate for period 2006-2009 produced by LiST ModelCost of ITN deliveryUSD 1.64Raised to USD 3.96Increased from USD 111 to USD 155Cost-effectiveMedian estimate for retail sales delivery cost (highest subgroup in lit review)Cost of LLINUSD 5.44Raised to USD 7.89Increased from USD 111 to USD 147Cost-effectiveHighest price paid per lot of LLIN in GFATM PRQ databaseNet lifetime3 yearsReduced to one yearIncreased from USD 111 to USD 114Cost-effectiveLowest time period over which costs can be annualizedNet lifetime3 yearsIncreased to five yearsReduced from USD 111 to USD 100Cost-effectiveUpper bound of planning for net replacement
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