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Scaling up malaria intervention "packages" in Senegal: using cost effectiveness data for improving allocative
Sophie Faye1, Altea Cico2, Alioune Badara Gueye3
1Health Finance and Governance Project, Abt Associates, 6130 Executive Boulevard, Rockville, MD, 20852, USA. Sophie_Faye@abtassoc.com.
Malaria Journal
|April 12, 2018
Summary
Senegal
Area of Science:
- Public Health
- Health Economics
- Malariology
Background:
- Senegal's National Malaria Control Programme (NMCP) utilizes intervention packages including Scale-Up For Impact (SUFI), indoor residual spraying (IRS), seasonal malaria chemoprophylaxis (SMC), and reactive case investigation.
- These packages are deployed in various combinations to combat malaria across different districts.
Purpose of the Study:
- To estimate the cost-effectiveness of different malaria intervention packages implemented by the NMCP.
- To provide data for improving allocative efficiency and informing programmatic decision-making.
Main Methods:
- A retrospective analysis of data from 2013-2014 across all 76 Senegal districts.
- Estimation of yearly implementation costs for each intervention and aggregation into package costs.
- Calculation of cost-effectiveness as cost per disability-adjusted life-year (DALY) averted.
Main Results:
- Cost per DALY averted ranged from $76 to $1591. Four of five packages were "very cost effective" (below Senegal's GDP per capita).
- The SUFI + SMC package was the most cost-effective at $76 per DALY averted.
- SMC enhanced the cost-effectiveness of IRS, with SUFI + IRS + SMC costing $272 per DALY averted compared to $582 for SUFI + IRS.
Conclusions:
- Senegal's package-based approach effectively targets high-burden areas with diverse interventions.
- While generally effective, performance varied across districts, suggesting room for efficiency gains.
- The SUFI + SMC package demonstrated superior cost-effectiveness, highlighting the impact of combining interventions.
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