Table 1 Reference implementation scenarios by intervention
From: Costing malaria interventions from pilots to elimination programmes
| Â | Rapid reporting | Reactive case detection | Mass Drug Administration | Indoor residual spraying |
|---|---|---|---|---|
Definition | Localized rapid reporting system of malaria diagnosed and treated cases and related commodities | Reactive focal testing and treatment of individuals living near clinical cases diagnosed and treated passively at health facilities or in community | Mass drug administration in a defined area without previous testing | Spraying interior surfaces of dwellings in a defined area with a residual insecticide |
Scale | 1 region, 3 districts, 20 HFCA each, 6000 population per HFCA | 1 region, 3 districts, 20 HFCA each, 6000 population per HFCA | 1 region, 3 districts, 20 HFCA each, 6000 population per HFCA | 1 region, 3 districts, 50% of district HFCA targeted, 6000 population per HFCA |
Level | HFCA | HFCA | HFCA | District |
Staff | 1 nurse/HF | 8 CHW/HFCA | 8 CHW/HFCA | 42 operators/district |
Operational details | 2 days of training 1 nurse 0.5 days/ month collating entries and reporting Mobile phone and data Supervised by district and regional staff—DHIS2 malaria module, 20% of server, server maintenance fees, and IT support allocated to malaria reporting1 | 4 days of training 1 CHW 1 day to follow-up an index case 5 person radius around an index case Bicycle 1 CHW per HFCA receives a mobile phone and data Supervised by HF nurses, district and regional staff Existing DHIS2, 6% of DHIS2 running costs allocated to reporting for RACD2 | 4 days of training 1 adherence officer per 2 CHWs 75 persons reached per pair per day Supervised by HF nurses, district, regional and central staff NMCP vehicles and drivers used for distribution and supervision Length of campaign is 10 days3 2 rounds per year | 7 days of training 6 spray operators, 1 team leader per pair, 8 pairs per district 60 structures sprayed per day by team 5 people per structure Supervised by HF nurses, district, regional and central staff NMCP vehicles and drivers used for distribution and supervision Length of campaign is 29 days4 1 round per year |
Commodities | Â | RDT, ALU | DHAP | Actellic 300 SC |
Coverage | 100% | 100% of index cases; up to 5 index cases per CHW per week | 85% | 90% of targeted areas |
Time valuation | Wages allocated based on time supporting rapid reporting Reporting nurse receives a monthly incentive for complete reporting | Economic value of time 0.36 USD/ day 1 CHW per HFCA collates and reports cases in the community and receive a monthly incentive for complete reporting | Economic value of time 0.36 USD/ day CHWs receive daily food allowances and an incentive award at the end of each MDA round | Spray operators receive wages, per-diems, and daily food allowances 20% receive a travel and lodging allowance to cover hard to reach areas |