Cost Effectiveness of Malaria Interventions from Preelimination through Elimination: a Study in Iran
نویسندگان
چکیده
BACKGROUND Malaria still is considered as a public health problem in Iran. The aim of the National Malaria Control Department is to reach the elimination by 2024. By decreasing the number of malaria cases in preelimination phase the cost effectiveness of malaria interventions decreases considerably. This study estimated the cost effectiveness of various strategies to combat malaria in preelimination and elimination phases in Iran. METHODS running costs of the interventions at each level of intervention was estimated by using evidence and expert opinions. The effect of each intervention was estimated using the documentary evidence available and expert opinions. Using a point estimate and distribution of each variable the sensitivity was evaluated with the Monte Carlo method. RESULTS The most cost-effective interventions were insecticide treated net (ITN), larviciding, surveillance for diagnosis and treatment of patients less than 24 hours, and indoor residual spraying (IRS) respectively, No related evidence found for the effectiveness of the border facilities. CONCLUSION This study showed that interventions in the elimination phase of malaria have low cost effectiveness in Iran like many other countries. However ITN is the most cost effective intervention among the available interventions.
منابع مشابه
Imported malaria cases: a source of moving backward from elimination to the preelimination phase in malaria control.
TO THE EDITOR—The World Health Organization (WHO) Eastern Mediterranean Region has a total population of 513 million, nearly half of which resides in areas at risk for malaria. Among the countries with low malaria burden limited to certain areas and with effective malaria programs, Iran has experienced a gradual decline in malaria over the past decade, now approaching the ultimate goal of disea...
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