2017
DOI: 10.1371/journal.pntd.0005935
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Cost-effectiveness of adding indoor residual spraying to case management in Afghan refugee settlements in Northwest Pakistan during a prolonged malaria epidemic

Abstract: IntroductionFinancing of malaria control for displaced populations is limited in scope and duration, making cost-effectiveness analyses relevant but difficult. This study analyses cost-effectiveness of adding prevention through targeted indoor residual spraying (IRS) to case management in Afghan refugee settlements in Pakistan during a prolonged malaria epidemic.Methods/FindingsAn intervention study design was selected, taking a societal perspective. Provider and household costs of vector control and case mana… Show more

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Cited by 9 publications
(17 citation statements)
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“…Many parts of Khyber Pakhtunkhwa and Afghanistan are malarial endemic regions (42). Additionally, malarial control remains challenging as it develops resistance against insecticides and antimalarials in use.…”
Section: Discussionmentioning
confidence: 99%
See 2 more Smart Citations
“…Many parts of Khyber Pakhtunkhwa and Afghanistan are malarial endemic regions (42). Additionally, malarial control remains challenging as it develops resistance against insecticides and antimalarials in use.…”
Section: Discussionmentioning
confidence: 99%
“…Additionally, malarial control remains challenging as it develops resistance against insecticides and antimalarials in use. Migration of 3 million afghan refugees to Pakistan were vulnerable because they settled in malaria endemic region and non-immune to Anopheline breeding (42). In our study, total of 10710 malarial cases were reported from 2012 to 2018 with total of 3 deaths from malaria.…”
Section: Discussionmentioning
confidence: 99%
See 1 more Smart Citation
“…However, it should be noted that this choice in range variation was arbitrary once the baseline values were taken from the results of the study, and no confidence intervals were calculated to fix the minimum and maximum values on variation. This arbitrary choice of a ± 25% fluctuation range is based on the literature of other studies that reported the analysis of IRS cost (Howard et al, 2017). It is assumed that a ± 25% change should be able to identify a more meaningful value change for those variables selected.…”
Section: Sensitivity Analysismentioning
confidence: 99%
“…Three studies did not specify the perspective, and it was assumed that these studies were likely from a provider perspective based on the use of administrative cost data. According to the World Health Organization (WHO) CHOICE 201325 3 61 1 1 5 61 4 1 5 McBain et al (2016) 61 4 1 2 Gargano et al (2017) 41 0 1 0 Howard et al (2017) 71 2 1 5 n ¼ the total number of questions under each section.…”
Section: Study Findingsmentioning
confidence: 99%