Study | Intervention | Control | Malaria prevalence | Outcome |
---|---|---|---|---|
Hawkes[21] | RDT-based CCMm for ≥5-14 years, presumptive <5 years old. | Presumptive treatment up to 14 years old. | 88% by microscopy, for calculations prevalence of 80% was considered. | 8.79 US$ for each case saved from unnecessary treatment (total health budget per person per year is 15$). Total costs three times as high for RDT based CCMm. |
Lemma[22] | RDT-based CCMm for P. falciparum with AL, other febrile cases treated with CQ. | Two comparisons. 1. RDT-based CCMm for P. falciparum (AL) and P. vivax (CQ) and referral of all others. | Slide positivity rate 27.29%, of which 70% P. falciparum. | Intervention: 4.66 US$ per correctly treated case. |
Control 1. 1.69 US$ per correctly treated case. | ||||
Control 2. 11.08 US$ per correctly treated case. | ||||
2. Presumptive treatment with AL for all fever patients. | ||||
Total costs were lowest for intervention strategy. | ||||
Chanda[23] | RDT-based CCMm with AL for all age groups (free of charge) | Health centre-based care (free of charge) | Prevalence 24% in RDT-based CCMm and 26% in health centres, either by RDT or microscopy. | Cost per case appropriately diagnosed and treated 4.22 US$ in RDT based CCMm (mainly because of higher adherence) and 6.61 US$ in health centers. Additional cost per change in case appropriately diagnosed and treated was 4.18 US$. |