The cost-effectiveness of permethrin-treated bed nets in an area of intense malaria transmission in western Kenya.
This study compared the costs and effects of insecticide (permethrin)-treated bed net (ITN) use in children less than five years of age in an area of intense, perennial malaria transmission in western Kenya. The data were derived from a group-randomized controlled trial of ITNs conducted between 1996 and 1999. The annual net cost per life-year gained was 34 U.S. dollars and the net annual cost per all-cause sick child clinic visit averted was 49 U.S. dollars. After taking into account a community effect (protection from malaria afforded to non-ITN users who lived within 300 meters from users) these estimates decreased to 25 U.S. dollars and 38 U.S. dollars, respectively. This study provides further evidence that ITNs are a highly cost-effective use of scarce health care resources.
Health Economics and Financing Programme & Gates Malaria Partnership, London School of Hygiene and Tropical Medicine, London, United Kingdom.
Virginia
V
Wiseman
William A
WA
Hawley
Feiko O
FO
ter Kuile
Penelope A
PA
Phillips-Howard
John M
JM
Vulule
Bernard L
BL
Nahlen
Anne J
AJ
Mills
D001512:Bedding and Linens / Q000191:economics*; D002675:Child, Preschool; D003362:Cost-Benefit Analysis; D003365:Costs and Cost Analysis; D006801:Humans; D007182:Income; D007223:Infant; D007306:Insecticides / Q000191:economics; D007630:Kenya / Q000453:epidemiology; D008288:Malaria / Q000191:economics / Q000453:epidemiology / Q000517:prevention & control* / Q000635:transmission; D026023:Permethrin / Q000191:economics*; D012959:Socioeconomic Factors
D007306:Insecticides; D026023:Permethrin