Malaria eradication: the economic, financial and institutional challenge

Table 2 The value of gains and losses associated with malaria control in Nepal (1980 prices).

Category	Gains	Losses
Marginal product of land	Max. of Rs 1,300 per ha and probably rather less
Marginal product of settlers	Approx Rs 2,700 per ha
Loss of marginal product of land in source areas of migrants		Unknown but probably small
Loss of marginal product of settlers in source areas		Approx Rs 1,200
Loss of marginal product of forested land		Minimum of Rs 220–400 per ha of agricultural land gained
Cost of malaria control		Average of Rs 25 per ha per year of control programme
Cost of agricultural investment		Rs 63–110 per ha per year
Ecological damage		Unknown
Gains and losses of indigenous population in settlement areas	Unknown	Unknown
Increased output and productivity of indigenous population	Small
Costs associated with larger population		Only to a small extent attributable to malaria control

Nepali Rs 16.46 = £1 (1980). Source: [16]. Tab.2.7. from Chp.2 "The Impact of Malaria Control on the Economic Development of Nepal" by Anne Mills from "Health Economics Research in Developing Countries" By permission of Oxford University Press.