title: Cost Effectiveness of Malaria Interventions from Preelimination through Elimination: a Study in Iran.
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 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.
  
  
  CONCLUSIONS
  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.
authors: Department of Epidemiology and Biostatistics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran.
authors: Mohsen
authors: M
authors: Rezaei-Hemami
authors: Department of Health Management and Economics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran.
authors: Ali
authors: A
authors: Akbari-Sari
authors: National Malaria Control Programme Manager, Center for Disease Management, Teheran, Iran.
authors: Ahmad
authors: A
authors: Raiesi
authors: Department of Medical Entomology and Vector Control, School of Public Health and National Institute of Health Research, Tehran University of Medical Sciences, Tehran, Iran.
authors: Hassan
authors: H
authors: Vatandoost
authors: School of Public Health, Knowledge Utilization Research Center, Tehran University of Medical Sciences, Tehran, Iran.
authors: Reza
authors: R
authors: Majdzadeh
keywords: IRS; ITN; Iran; Malaria; cost effectiveness; prevention and control
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