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Table 3 Sensitivity Analysis – Impact of varying major assumptions on gross and net costs per malaria case averted

From: Cost-effectiveness analysis of insecticide-treated net distribution as part of the Togo Integrated Child Health Campaign

Variable

Change

Impact on gross cost per malaria case averted

Impact on net cost/savings per malaria case averted

Attribution of shared campaign costs

All shared costs borne by measles component.

Decrease from 4.40 USD to 3.96 USD.

Decrease from 3.26 USD to 2.83 USD.

Attribution of shared campaign costs

All shared costs borne by malaria component.

Increase from 4.40 USD to 4.83 USD.

Increase from 3.26 USD to 3.69 USD.

Discount Rate

Decrease from 5% to 3%

Minimal decrease from 4.40 USD to 4.39 USD.

Minimal decrease from 3.26 USD to 3.25 USD.

Discount Rate

Increase from 5% to 7%

Minimal increase from 4.40 USD to 4.41 USD.

Minimal increase from 3.26 USD to 3.27 USD.

Lifetime of vehicles

From 8 and 10 years (depending on model) to 5 years

No change.

Minimal increase from 3.26 USD to 3.27 USD.

Exchange Rate

From 1/12/2004 to 1/10/2004

Minimal increase from 4.40 USD to 4.41 USD.

Minimal increase from 3.26 USD to 3.28 USD.

Exchange Rate

From 1/12/2004 to 1/1/2005

Minimal increase from 4.40 USD to 4.43 USD.

Minimal increase from 3.26 USD to 3.30 USD.

Price of LLITN

10% increase

Increase from 4.40 USD to 4.72 USD.

Increase from 3.26 USD to 3.58 USD.

 

10% decrease

Decrease from 4.40 USD to 4.08 USD.

Decrease from 3.26 USD to 2.94 USD.

Duration of usage of LLITN

From 3 years to 2 years

Increase from 4.40 USD to 6.60 USD.

Increase from 3.26 USD to 5.46 USD.

 

From 3 years to 4 years

Decrease from 4.40 USD to 3.30 USD.

Decrease from 3.26 USD to 2.16 USD.

Usage of LLITN among < 5 year old children

From current ratio of 54% in Togo to higher rates used in Cochrane review (70%)

Decrease from 4.40 USD to 3.39 USD.

Decrease from 3.26 USD to 2.25 USD.

Increase in transmission

From incidence of 1,209 per 1,000 p.a. to 1,727 per 1,000 p.a.

Decrease from 4.40 USD to 3.08 USD.

Decrease from 3.26 USD to 1.94 USD.

Decrease in transmission

From incidence of 1,209 per 1,000 p.a. to 237 per 1,000 p.a.

Increase from 4.40 USD to 22.43 USD.

Increase from 3.26 USD to 21.29 USD.

Percentage of febrile children accessing public health facilities

From 30% to 10%

No change by definition.

Increase from 3.26 USD to 4.02 USD.

 

From 30% to 100%

No change by definition.

Decrease from 3.26 USD to 0.61 USD.