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Table 2 Cost-effectiveness of the Ghana LLIN Campaign with door-to-door distribution and hang-up activities

From: Evaluation of a universal long-lasting insecticidal net (LLIN) distribution campaign in Ghana: cost effectiveness of distribution and hang-up activities

  Brong Ahafo Central Western Combined
Population1 2,278,862 2,115,757 2,303,207 6,697,826
Number of LLINs procured 1,338,000 1,003,100 1,346,900 3,688,000
Number of LLINs delivered 1,327,601 996,023 1,340,404 3,664,028
Cost of LLIN Campaign (USD, 2012 prices)
Total financial cost (provider perspective) 6,784,971 7,437,331 9,625,732 23,848,034
Annual economic cost (societal perspective) 3,207,176 3,335,191 4,100,270 10,642,637
Effect of LLIN Campaign
% of total population sleeping under an LLIN
  Pre-campaign 26.7% 16.8% 23.0% 21.3%
  Post-campaign 68.5% 45.0% 46.9% 54.4%
% of children under five sleeping under LLIN
  Pre-campaign 42.0% 27.9% 32.7% 33.9%
  Post-campaign 75.9% 53.4% 57.5% 63.0%
Additional number of persons using LLIN1 952,564 596,643 550,466 2,216,980
Additional number of children under five years using LLIN1,2 115,880 80,928 85,679 292,360
Estimated annual number of child deaths averted as result of increased LLIN use3 637 445 471 1,608
Cost-effectiveness of LLIN Campaign
Financial cost4 per LLIN delivered 5.11 7.47 7.18 6.51
Economic cost5 per LLIN delivered 2.42 3.35 3.06 2.90
Financial delivery cost4,6 per LLIN 1.08 1.41 1.15 1.19
Economic delivery cost5,6 per LLIN 0.99 1.21 0.93 1.03
Economic cost5 per additional person sleeping under an LLIN 3.37 5.59 7.45 4.80
Economic cost5 per additional child under five years sleeping under an LLIN 27.68 41.21 47.86 36.40
Economic cost5 per child death averted 5,032.12 7,493.09 8,701.59 6,618.64
  1. 1Population estimates from 2010 census figures; 2Assumes 15% of population are under 5 years of age; 3Assumes 5.5 deaths averted per 1000 children under five years sleeping under an LLIN; 4Financial costs from the provider perspective; 5Average annual economic costs from the societal perspective (assumes 3-year useful LLIN lifespan; includes costs to recipients as well as providers); 6Excludes cost of LLIN and non-LLIN materials required for hanging. All costs presented in USD, 2012 prices.