Table 3 Cost-consequence summary of insecticide treated nets and malaria community health workers in Myanmar
ITN | CHW | |
|---|---|---|
Direct costs | One off purchase and distribution costs are annualised over the lifespan of the net Annual equivalent cost per village in modelled scenarios: US$ 240–750 | Annual costs include: training, patient services, monitoring and supervision, programme management and CHW remuneration or incentives. Annual cost range in modelled scenarios (excluding variable drug costs): US$ 560–2300 Although the effective cost for malaria funds could be reduced through cost sharing |
Direct consequences | Modest impact on malaria disease in Myanmar due to crepuscular and exophagic biting | High impact on malaria disease if there is good utilisation of the CHW by people who have malaria |
Indirect consequences | Modest impact on malaria transmission in Myanmar due to crepuscular and exophagic biting | High impact on malaria transmission if there is good utilisation of the CHW by people who have malaria |
Direct effects of ITN result in use of fewer diagnostics and treatment and therefore save some costs (included in analysis) | CHW can be used to provide other health services, feedback valuable information on malaria burden, provide information and educational messages to the community (not included in analysis) |