Modelling the returns on options for improving malaria case management in Ethiopia
Bibliographic Data
| ID | 11490279 |
|---|---|
| Authors | Gary Gaumer (0000-0003-3304-1258, Simmons University, corresponding author), Wu Zeng (0000-0002-3473-3638, Simmons University), Allyala Krishna Nandakumar, A Nandakumar (0000-0002-0976-9313, Simmons University) |
| Year | 2014 |
| Volume | 29 |
| Issue | 8 |
| Pages | 998-1007 |
| Publication date | 2014-12-01 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Health Policy and Planning (JOURNAL) |
| Journal identifiers | ISSN: 0268-1080 • E-ISSN: 1460-2237 |
| Publisher | Oxford University Press (PUBLISHER • GB) |
| DOI | 10.1093/heapol/czt081 |
| PMID | 24197404 |
| OpenAlex | W2100916412 |
| Language | EN |
| Citations received | 1 |
| References cited | 32 |
BACKGROUND: Diverse opinions have emerged about the best way to scale up malaria interventions. Three controversies seem most important: (1) should the scale-up focus on a broader target of febrile illness (including infectious disease and pneumonia)? (2) should the scale-up feature a single intervention or be targeted to the situation? (3) should scale-up have a preference for one kind of delivery mechanism or another? METHODS: A decision model of 576 nodes describes the patterns of access, treatment and outcomes of an episode of febrile illness for a child below 5 years. Incremental costs and outcomes relative to baseline (2010) are computed for particular scenarios for Ethiopia using data from the literature. Two perspectives define the relevant costs: society at large and financiers (government and donors) where the costs borne by households are not included. FINDINGS: Scaling up malaria interventions by one means or another is a very inexpensive way of saving young lives in poor countries. The low cost per life saved stems from two main reasons: the excessive baseline costs of presumptive use of antimalarial drugs for non-malaria cases, and the excessive costs of delayed treatment of pneumonia. A very limited policy of supplying antibiotics to facilities to eliminate stockouts would save 2100 lives, at a cost of only $615 a life. A much broader programme option, bundling malaria and pneumonia together for patients presenting with febrile illness [including rapid diagnostic test (RDT) for malaria, respiratory rate timers (RRTs) and free antibiotics], would save tens of thousands of young lives at and still cost society less than child fever management in the baseline situation! It is not clear that scale-up via community health workers (CHWs) is to be preferred to a facility-based intervention. The delivery through CHWs allows for a broader coverage of using RDT and RRT, but with limited effectiveness due to limited skills of CHWs in treating and managing patients.
Baseline (sea) · Business · Economics · Government (linguistics) · Intensive care medicine · Intervention (counseling) · Malaria · Political science · Psychological intervention · Socioeconomics · Tanzania · Global Maternal and Child Health · Malaria Research and Control · Medicine · Nursing · Parasites and Host Interactions
Effect on maternal and child health services in Rwanda of payment to primary health-care providers for performance
A path to an optimal future for the Affordable Medicines Facility – malaria
As a clinician, you are not managing lab results, you are managing the patient
Introducing malaria rapid diagnostic tests at registered drug shops in Uganda
| Unique citing works | 1 |
|---|---|
| Citations per year | 0,11 |
| Citation span | 2017 - 2017 (1) |
| Citation velocity | historical |
| Highly cited | No |
| Citation types | Neutral: 1 |