Cost effectiveness of Malaria interventions from preelimination through elimination: a study in Iran

Rezaeihemami, M., Akbari-Sari, A., Raiesi, A., Vatandoost, H. and Majdzadeh, R. (2014) Cost effectiveness of Malaria interventions from preelimination through elimination: a study in Iran. Journal of Arthropod-Borne Diseases, 8(1), pp. 43-52. (PMID:25629064) (PMCID:PMC4289510)

Abstract

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 diag- nosis and treatment of patients less than 24 hours, and indoor residual spraying (IRS) respectively, No related evi- dence 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.

• Item Type: Articles
• Additional Information: We thank all experts in MOHME malaria office and in Sistan and Baluchestan, Kerman and Hormozgan Provinces. Furthermore we especially thank Mrs Nikpur for her help in this study. This article was part of PhD thesis in epidemiology supported by Tehran University of Medical Sciences. The authors of study declare that they have no competing interests.
• Status: Published
• Refereed: Yes
• Glasgow Author(s) Enlighten ID: Rezaeihemami, Dr Mohsen
• Authors: Rezaeihemami, M., Akbari-Sari, A., Raiesi, A., Vatandoost, H., and Majdzadeh, R.
• College/School: College of Medical Veterinary and Life Sciences > School of Health & Wellbeing > Health Economics and Health Technology Assessment
• Journal Name: Journal of Arthropod-Borne Diseases
• Publisher: Tehran University of Medical Sciences
• ISSN: 2322-1984
• ISSN (Online): 2322-2271
• Copyright Holders: Copyright © 2013 The Authors
• First Published: First published in Journal of Arthropod-Borne Diseases 8(1):43-52
• Publisher Policy: Reproduced under a creative commons license