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The Evidence Base on the Cost-Effectiveness of Malaria Control Measures in Africa

1999/01/01 by Catherine Goodman, Anne Mills · 3 citations
Medicine · #Global Maternal and Child Health #Malaria Research and Control #Mosquito-borne diseases and control

paper · pdf · doi:10.1093/heapol/14.4.301

openalex publication_date 1999/01/01 · openalex created_date 2025/10/10 · openalex updated_date 2026/07/15

Abstract

This review assesses the range and quality of the evidence base on the cost-effectiveness of malaria prevention and treatment in sub-Saharan Africa. Fourteen studies are reviewed, covering insecticide-treated nets, residual spraying, chemoprophylaxis for children, chemoprophylaxis or intermittent treatment for pregnant women, a hypothetical vaccine, and changing the first line drug for treatment. The available evidence provides some guidance to decision-makers. However, the potential to inform policy debates is limited by the gross lack of information on the costs and effects of many interventions, the very small number of cost-effectiveness analyses available, the lack of evidence on the costs and effects of packages of measures, and the problems in generalizing or comparing studies that relate to specific settings and use different methodologies and outcome measures.

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