title: Geographic Resource Allocation Based on Cost Effectiveness: An Application to Malaria Policy.
abstract: Healthcare services are often provided to a country as a whole, though in many cases the available resources can be more effectively targeted to specific geographically defined populations. In the case of malaria, risk is highly geographically heterogeneous, and many interventions, such as insecticide-treated bed nets and malaria community health workers, can be targeted to populations in a way that maximises impact for the resources available. This paper describes a framework for geographically targeted budget allocation based on the principles of cost-effectiveness analysis and applied to priority setting in malaria control and elimination. The approach can be used with any underlying model able to estimate intervention costs and effects given relevant local data. Efficient geographic targeting of core malaria interventions could significantly increase the impact of the resources available, accelerating progress towards elimination. These methods may also be applicable to priority setting in other disease areas.
authors.affiliation: Myanmar Oxford Clinical Research Unit, Yangon, Myanmar. tom.d@tropmedres.ac.|Nuffield Department of Medicine, University of Oxford, Oxford, UK. tom.d@tropmedres.ac.|Faculty of Tropical Medicine, Mahidol-Oxford Tropical Medicine Research Unit, Mahidol University, 3/F, 60th Anniversary Chalermprakiat Building, 420/6 Rajvithi Road, Bangkok, Thailand. tom.d@tropmedres.ac.
authors.forename: Tom L
authors.initials: TL
authors.lastname: Drake
authors.affiliation: Nuffield Department of Medicine, University of Oxford, Oxford, UK.|Mahidol-Oxford Tropical Medicine Research Unit, Mahidol University, Bangkok, Thailand.
authors.forename: Yoel
authors.initials: Y
authors.lastname: Lubell
authors.affiliation: Myanmar Oxford Clinical Research Unit, Yangon, Myanmar.
authors.forename: Shwe Sin
authors.initials: SS
authors.lastname: Kyaw
authors.affiliation: Mahidol-Oxford Tropical Medicine Research Unit, Mahidol University, Bangkok, Thailand.
authors.forename: Angela
authors.initials: A
authors.lastname: Devine
authors.affiliation: Department of Medical Research, Ministry of Health, Yangon, Myanmar.
authors.forename: Myat Phone
authors.initials: MP
authors.lastname: Kyaw
authors.affiliation: Nuffield Department of Medicine, University of Oxford, Oxford, UK.|Mahidol-Oxford Tropical Medicine Research Unit, Mahidol University, Bangkok, Thailand.
authors.forename: Nicholas P J
authors.initials: NPJ
authors.lastname: Day
authors.affiliation: Myanmar Oxford Clinical Research Unit, Yangon, Myanmar.|Nuffield Department of Medicine, University of Oxford, Oxford, UK.
authors.forename: Frank M
authors.initials: FM
authors.lastname: Smithuis
authors.affiliation: Nuffield Department of Medicine, University of Oxford, Oxford, UK.|Mahidol-Oxford Tropical Medicine Research Unit, Mahidol University, Bangkok, Thailand.
authors.forename: Lisa J
authors.initials: LJ
authors.lastname: White
mesh_terms: D003362:Cost-Benefit Analysis / Q000706:statistics & numerical data*; D060740:Disease Eradication / Q000191:economics* / Q000706:statistics & numerical data*; D005843:Geography; D006291:Health Policy / Q000191:economics*; D006801:Humans; D008288:Malaria / Q000191:economics* / Q000628:therapy*; D040841:Resource Allocation / Q000706:statistics & numerical data*