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Table 1 Economic cost (in 2000US$*) and CE of IRS in sub-Saharan Africa

From: Improving the cost-effectiveness of IRS with climate informed health surveillance systems

Study (number) and Location
[costs reported in original study]
Intervention description and scale Unit Cost per year
(rounded to nearest cent)
Cost-effectiveness
(rounded to nearest $)
Study (1) Tanzania
[20]
• IRS one round per year
• Lambda chyhalothrin (Icon)
• 1000 people covered
$2.45 per person protected No Data
Study (2)
Highland Kenya
[2000 $]
• IRS one round per year
• Lambda cyhalothrin (Icon)
• 1752 people covered
$0.88 per person protected
[22]
$9 per infection case prevented
[21]
Study (3)
KwaZulu Natal, S Africa [23]
[1999 Rand and $]
• IRS one round per year
• Deltamethrin
• 26,703 people covered
$4.93 per person protected No Data
Study (4)
LSDI, Mozambique
[2000 $]
• IRS two rounds per year
• FICAM and Propoxur
• 251,918 people covered
Zone 1: 1 round FICAM, 1 round Propoxur (71047 people)
Zone 1A: 2 rounds FICAM (180871 people)
$4.82 per person protected
Zone 1:
$3.48 per person protected
Zone 1A:
$2.16 per person protected
$28 per clinical case averted
$29 per infection case prevented
Study (5)
Reanalysis of Kwa-Zulu Natal, South Africa
[17]
[$2005]
• IRS one round per year
• Deltamethrin
• 26,703 people covered
$4.27 per person protected $596 per death averted
$23 per DALY averted‡
   $30.35 cost per under five protected $5518 per under five death averted
$167 per under five DALY averted
Study (6)
Reanalysis of LSDI, Mozambique**
[17]
[$2005]
• IRS two rounds per year
• FICAM and Propoxur
• 251,918 people covered
$4.94 per person protected $897 per death averted
$27 per DALY averted
   $27.40 per under five protected $4981 per death averted
$151 per DALY averted
  • IRS one round per year
• Lambda cyhalothrin (Icon)
$4.34–7.67 per under five protected
[26]
$12–22 per under five DALY averted [25]
  • IRS two rounds per year
• Lambda cyhalothrin (Icon)
$8.69–15.34 per under five protected
[26]
$24–44 per under five DALY averted [25]
  1. *Converted from original source by author where necessary using US government GDP price deflator: U.S. Bureau of Economic Analysis (BEA) (2008). U.S. Implicit Price Deflators for Gross Domestic Product [On-line]. Available: http://www.bea.gov
  2. Unit cost per year = Total annual costs divided by population protected by intervention
  3. Examines only child deaths but allocates costs to child DALYs averted based on proportion of children in population