AI Article Synopsis
- The study compares the cost-effectiveness of two delivery models for long-lasting insecticidal nets (LLINs) in rural Mozambique, focusing on universal coverage campaigns.
- The total costs for delivering LLINs were significantly higher in the intervention districts, but the average cost-effectiveness ratios indicated that the new model was more cost-effective per LLIN and per household achieving universal coverage.
- Despite the new model showing positive incremental net benefits and being deemed cost-effective, concerns about the long-term sustainability of either model in Mozambique's economic context remain.
Article Abstract
Objective: The aim is to compare the cost-effectiveness of two long-lasting insecticidal nets (LLINs) delivery models (standard vs. new) in universal coverage (UC) campaigns in rural Mozambique.
Results: The total financial cost of delivering LLINs was US$ 231,237.30 and US$ 174,790.14 in the intervention (302,648 LLINs were delivered) and control districts (219,613 LLINs were delivered), respectively. The average cost-effectiveness ratio (ACER) per LLIN delivered and ACER per household (HH) achieving UC was lower in the intervention districts. The incremental cost-effectiveness ratio (ICER) per LLIN and ICER per HH reaching UC were US$ 0.68 and US$ 2.24, respectively. Both incremental net benefit (for delivered LLIN and for HHs reaching UC) were positive (intervention deemed cost-effective). Overall, the newer delivery model was the more cost-effective intervention. However, the long-term sustainability of either delivery models is far from guaranteed in Mozambique's current economic context.
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| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6744705 | PMC |
| http://dx.doi.org/10.1186/s13104-019-4620-6 | DOI Listing |
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