Loading…

Cost-effectiveness of malaria elimination in Sampov Loun Operational District, Cambodia

Over the past decade, Cambodia has seen a significant decline in its malaria burden. The government has established the goal of eliminating malaria in the country by 2025. With PMI/USAID support, Cambodia is implementing a package of interventions as part of its efforts. This assessment aimed to des...

Full description

Saved in:
Bibliographic Details
Published in:MalariaWorld journal 2020, Vol.11, p.2-2
Main Authors: Por, Ir, Sovannaroth, Siv, Moran, Alexander, Dysoley, Lek, Nguon, Sokomar, Bunthy, Om, Meas, May Sak, Barat, Lawrence, Slot, Rida, Thangadurai, Sharon, Kapella, Bryan K, Hassan, Saad El-Din, Po, Ly, An, Sen Sam, Gimnig, John E, McDowell, Mary, Thigpen, Michael, Armistead, Jennifer, AlMossawi, Hala Jassim, Kheang, Soy Ty, Kak, Neeraj
Format: Article
Language:English
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
cited_by
cites
container_end_page 2
container_issue
container_start_page 2
container_title MalariaWorld journal
container_volume 11
creator Por, Ir
Sovannaroth, Siv
Moran, Alexander
Dysoley, Lek
Nguon, Sokomar
Bunthy, Om
Meas, May Sak
Barat, Lawrence
Slot, Rida
Thangadurai, Sharon
Kapella, Bryan K
Hassan, Saad El-Din
Po, Ly
An, Sen Sam
Gimnig, John E
McDowell, Mary
Thigpen, Michael
Armistead, Jennifer
AlMossawi, Hala Jassim
Kheang, Soy Ty
Kak, Neeraj
description Over the past decade, Cambodia has seen a significant decline in its malaria burden. The government has established the goal of eliminating malaria in the country by 2025. With PMI/USAID support, Cambodia is implementing a package of interventions as part of its efforts. This assessment aimed to describe the cost of malaria elimination activities in Sampov Loun Operational District (OD) between July 2015 and March 2018, to describe the cost per malaria case detected under PMI programming, and to estimate the incremental cost-effectiveness of the elimination programme per ( ) or ( )/ mixed case averted under the Cambodia Malaria Elimination Programme (CMEP) and the U.S. President's Malaria Initiative. Opportunity costs of government workers were also assessed to understand the theoretical cost of sustaining this programme through government efforts alone. We conducted an empirical micro-costing analysis based on elimination activities alone using CMEP internal project implementation data and corresponding epidemiologic data from July 2015 to March 2018 and empirical findings from implementation to date. We then constructed a cost model in Microsoft Excel using empirical data and used a cost-effectiveness decision tree to describe programme effectiveness in the first three years of implementation and to estimate efficacy for the subsequent year. The total cost of malaria elimination activities in Sampov Loun OD from July 2015 to March 2018 was $883,096. The cost per case of malaria detected in 2017 was $1,304. Including opportunity costs for government staff from July 2015 to March 2018, the total cost was $926,000. Under continued CMEP implementation, the projected future total cost of the program would be about $110,000 per year, or $0.64 per Sampov Loun resident. The incremental cost-effectiveness of the elimination programme was $28 for every additional or mix malaria case averted, compared to the no-CMEP proxy. CMEP activities are cost effective compared to the no-CMEP proxy, as shown through an incremental cost-effectiveness of $28 for every additional or mix malaria case averted. The total cost of the project is 0.93% of the total per capita spending on health in Cambodia and about 5% of all government health expenditure. Continuing investments in malaria will be needed at national level for stewardship and governance and at local level for ensuring programme readiness in case of malaria outbreaks.
format article
fullrecord <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_8415074</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2574382695</sourcerecordid><originalsourceid>FETCH-LOGICAL-p1114-c4781b34ec6e7cac9f65039b57de72e5d3ebbe7d99e8a9d5e1556682d1b91d1f3</originalsourceid><addsrcrecordid>eNpVkEtLxDAUhYsgzjDOX5AsXVhomqSPjSD1McLALFRchpvkViNtUpt0wH9v0VF0dRfn4zuHe5Qs85zylLOSL5J1CG9ZllFeFCLjJ8mCccHyGVgmz40PMcW2RR3tHh2GQHxLeuhgtECws711EK13xDryAP3g92TrJ0d2A45fAXTk2oY4Wh0vSAO98sbCaXLcQhdwfbir5On25rHZpNvd3X1ztU0HSud9mpcVVYyjLrDUoOt2XshqJUqDZY7CMFQKS1PXWEFtBFIhiqLKDVU1NbRlq-Ty2ztMqkej0cUROjmMtofxQ3qw8n_i7Kt88XtZcSqyks-C84Ng9O8Thih7GzR2HTj0U5C5mKEqL2oxo2d_u35Lfr7JPgFaCHK3</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2574382695</pqid></control><display><type>article</type><title>Cost-effectiveness of malaria elimination in Sampov Loun Operational District, Cambodia</title><source>PubMed Central</source><creator>Por, Ir ; Sovannaroth, Siv ; Moran, Alexander ; Dysoley, Lek ; Nguon, Sokomar ; Bunthy, Om ; Meas, May Sak ; Barat, Lawrence ; Slot, Rida ; Thangadurai, Sharon ; Kapella, Bryan K ; Hassan, Saad El-Din ; Po, Ly ; An, Sen Sam ; Gimnig, John E ; McDowell, Mary ; Thigpen, Michael ; Armistead, Jennifer ; AlMossawi, Hala Jassim ; Kheang, Soy Ty ; Kak, Neeraj</creator><creatorcontrib>Por, Ir ; Sovannaroth, Siv ; Moran, Alexander ; Dysoley, Lek ; Nguon, Sokomar ; Bunthy, Om ; Meas, May Sak ; Barat, Lawrence ; Slot, Rida ; Thangadurai, Sharon ; Kapella, Bryan K ; Hassan, Saad El-Din ; Po, Ly ; An, Sen Sam ; Gimnig, John E ; McDowell, Mary ; Thigpen, Michael ; Armistead, Jennifer ; AlMossawi, Hala Jassim ; Kheang, Soy Ty ; Kak, Neeraj</creatorcontrib><description>Over the past decade, Cambodia has seen a significant decline in its malaria burden. The government has established the goal of eliminating malaria in the country by 2025. With PMI/USAID support, Cambodia is implementing a package of interventions as part of its efforts. This assessment aimed to describe the cost of malaria elimination activities in Sampov Loun Operational District (OD) between July 2015 and March 2018, to describe the cost per malaria case detected under PMI programming, and to estimate the incremental cost-effectiveness of the elimination programme per ( ) or ( )/ mixed case averted under the Cambodia Malaria Elimination Programme (CMEP) and the U.S. President's Malaria Initiative. Opportunity costs of government workers were also assessed to understand the theoretical cost of sustaining this programme through government efforts alone. We conducted an empirical micro-costing analysis based on elimination activities alone using CMEP internal project implementation data and corresponding epidemiologic data from July 2015 to March 2018 and empirical findings from implementation to date. We then constructed a cost model in Microsoft Excel using empirical data and used a cost-effectiveness decision tree to describe programme effectiveness in the first three years of implementation and to estimate efficacy for the subsequent year. The total cost of malaria elimination activities in Sampov Loun OD from July 2015 to March 2018 was $883,096. The cost per case of malaria detected in 2017 was $1,304. Including opportunity costs for government staff from July 2015 to March 2018, the total cost was $926,000. Under continued CMEP implementation, the projected future total cost of the program would be about $110,000 per year, or $0.64 per Sampov Loun resident. The incremental cost-effectiveness of the elimination programme was $28 for every additional or mix malaria case averted, compared to the no-CMEP proxy. CMEP activities are cost effective compared to the no-CMEP proxy, as shown through an incremental cost-effectiveness of $28 for every additional or mix malaria case averted. The total cost of the project is 0.93% of the total per capita spending on health in Cambodia and about 5% of all government health expenditure. Continuing investments in malaria will be needed at national level for stewardship and governance and at local level for ensuring programme readiness in case of malaria outbreaks.</description><identifier>EISSN: 2214-4374</identifier><identifier>PMID: 34532221</identifier><language>eng</language><publisher>Netherlands: Dutch Malaria Foundation</publisher><ispartof>MalariaWorld journal, 2020, Vol.11, p.2-2</ispartof><rights>Copyright © 2020 Ir et al.</rights><rights>Copyright © 2020 Ir . 2020</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8415074/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8415074/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,881,4010,53766,53768</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/34532221$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Por, Ir</creatorcontrib><creatorcontrib>Sovannaroth, Siv</creatorcontrib><creatorcontrib>Moran, Alexander</creatorcontrib><creatorcontrib>Dysoley, Lek</creatorcontrib><creatorcontrib>Nguon, Sokomar</creatorcontrib><creatorcontrib>Bunthy, Om</creatorcontrib><creatorcontrib>Meas, May Sak</creatorcontrib><creatorcontrib>Barat, Lawrence</creatorcontrib><creatorcontrib>Slot, Rida</creatorcontrib><creatorcontrib>Thangadurai, Sharon</creatorcontrib><creatorcontrib>Kapella, Bryan K</creatorcontrib><creatorcontrib>Hassan, Saad El-Din</creatorcontrib><creatorcontrib>Po, Ly</creatorcontrib><creatorcontrib>An, Sen Sam</creatorcontrib><creatorcontrib>Gimnig, John E</creatorcontrib><creatorcontrib>McDowell, Mary</creatorcontrib><creatorcontrib>Thigpen, Michael</creatorcontrib><creatorcontrib>Armistead, Jennifer</creatorcontrib><creatorcontrib>AlMossawi, Hala Jassim</creatorcontrib><creatorcontrib>Kheang, Soy Ty</creatorcontrib><creatorcontrib>Kak, Neeraj</creatorcontrib><title>Cost-effectiveness of malaria elimination in Sampov Loun Operational District, Cambodia</title><title>MalariaWorld journal</title><addtitle>Malariaworld J</addtitle><description>Over the past decade, Cambodia has seen a significant decline in its malaria burden. The government has established the goal of eliminating malaria in the country by 2025. With PMI/USAID support, Cambodia is implementing a package of interventions as part of its efforts. This assessment aimed to describe the cost of malaria elimination activities in Sampov Loun Operational District (OD) between July 2015 and March 2018, to describe the cost per malaria case detected under PMI programming, and to estimate the incremental cost-effectiveness of the elimination programme per ( ) or ( )/ mixed case averted under the Cambodia Malaria Elimination Programme (CMEP) and the U.S. President's Malaria Initiative. Opportunity costs of government workers were also assessed to understand the theoretical cost of sustaining this programme through government efforts alone. We conducted an empirical micro-costing analysis based on elimination activities alone using CMEP internal project implementation data and corresponding epidemiologic data from July 2015 to March 2018 and empirical findings from implementation to date. We then constructed a cost model in Microsoft Excel using empirical data and used a cost-effectiveness decision tree to describe programme effectiveness in the first three years of implementation and to estimate efficacy for the subsequent year. The total cost of malaria elimination activities in Sampov Loun OD from July 2015 to March 2018 was $883,096. The cost per case of malaria detected in 2017 was $1,304. Including opportunity costs for government staff from July 2015 to March 2018, the total cost was $926,000. Under continued CMEP implementation, the projected future total cost of the program would be about $110,000 per year, or $0.64 per Sampov Loun resident. The incremental cost-effectiveness of the elimination programme was $28 for every additional or mix malaria case averted, compared to the no-CMEP proxy. CMEP activities are cost effective compared to the no-CMEP proxy, as shown through an incremental cost-effectiveness of $28 for every additional or mix malaria case averted. The total cost of the project is 0.93% of the total per capita spending on health in Cambodia and about 5% of all government health expenditure. Continuing investments in malaria will be needed at national level for stewardship and governance and at local level for ensuring programme readiness in case of malaria outbreaks.</description><issn>2214-4374</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><recordid>eNpVkEtLxDAUhYsgzjDOX5AsXVhomqSPjSD1McLALFRchpvkViNtUpt0wH9v0VF0dRfn4zuHe5Qs85zylLOSL5J1CG9ZllFeFCLjJ8mCccHyGVgmz40PMcW2RR3tHh2GQHxLeuhgtECws711EK13xDryAP3g92TrJ0d2A45fAXTk2oY4Wh0vSAO98sbCaXLcQhdwfbir5On25rHZpNvd3X1ztU0HSud9mpcVVYyjLrDUoOt2XshqJUqDZY7CMFQKS1PXWEFtBFIhiqLKDVU1NbRlq-Ty2ztMqkej0cUROjmMtofxQ3qw8n_i7Kt88XtZcSqyks-C84Ng9O8Thih7GzR2HTj0U5C5mKEqL2oxo2d_u35Lfr7JPgFaCHK3</recordid><startdate>2020</startdate><enddate>2020</enddate><creator>Por, Ir</creator><creator>Sovannaroth, Siv</creator><creator>Moran, Alexander</creator><creator>Dysoley, Lek</creator><creator>Nguon, Sokomar</creator><creator>Bunthy, Om</creator><creator>Meas, May Sak</creator><creator>Barat, Lawrence</creator><creator>Slot, Rida</creator><creator>Thangadurai, Sharon</creator><creator>Kapella, Bryan K</creator><creator>Hassan, Saad El-Din</creator><creator>Po, Ly</creator><creator>An, Sen Sam</creator><creator>Gimnig, John E</creator><creator>McDowell, Mary</creator><creator>Thigpen, Michael</creator><creator>Armistead, Jennifer</creator><creator>AlMossawi, Hala Jassim</creator><creator>Kheang, Soy Ty</creator><creator>Kak, Neeraj</creator><general>Dutch Malaria Foundation</general><scope>NPM</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>2020</creationdate><title>Cost-effectiveness of malaria elimination in Sampov Loun Operational District, Cambodia</title><author>Por, Ir ; Sovannaroth, Siv ; Moran, Alexander ; Dysoley, Lek ; Nguon, Sokomar ; Bunthy, Om ; Meas, May Sak ; Barat, Lawrence ; Slot, Rida ; Thangadurai, Sharon ; Kapella, Bryan K ; Hassan, Saad El-Din ; Po, Ly ; An, Sen Sam ; Gimnig, John E ; McDowell, Mary ; Thigpen, Michael ; Armistead, Jennifer ; AlMossawi, Hala Jassim ; Kheang, Soy Ty ; Kak, Neeraj</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-p1114-c4781b34ec6e7cac9f65039b57de72e5d3ebbe7d99e8a9d5e1556682d1b91d1f3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Por, Ir</creatorcontrib><creatorcontrib>Sovannaroth, Siv</creatorcontrib><creatorcontrib>Moran, Alexander</creatorcontrib><creatorcontrib>Dysoley, Lek</creatorcontrib><creatorcontrib>Nguon, Sokomar</creatorcontrib><creatorcontrib>Bunthy, Om</creatorcontrib><creatorcontrib>Meas, May Sak</creatorcontrib><creatorcontrib>Barat, Lawrence</creatorcontrib><creatorcontrib>Slot, Rida</creatorcontrib><creatorcontrib>Thangadurai, Sharon</creatorcontrib><creatorcontrib>Kapella, Bryan K</creatorcontrib><creatorcontrib>Hassan, Saad El-Din</creatorcontrib><creatorcontrib>Po, Ly</creatorcontrib><creatorcontrib>An, Sen Sam</creatorcontrib><creatorcontrib>Gimnig, John E</creatorcontrib><creatorcontrib>McDowell, Mary</creatorcontrib><creatorcontrib>Thigpen, Michael</creatorcontrib><creatorcontrib>Armistead, Jennifer</creatorcontrib><creatorcontrib>AlMossawi, Hala Jassim</creatorcontrib><creatorcontrib>Kheang, Soy Ty</creatorcontrib><creatorcontrib>Kak, Neeraj</creatorcontrib><collection>PubMed</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>MalariaWorld journal</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Por, Ir</au><au>Sovannaroth, Siv</au><au>Moran, Alexander</au><au>Dysoley, Lek</au><au>Nguon, Sokomar</au><au>Bunthy, Om</au><au>Meas, May Sak</au><au>Barat, Lawrence</au><au>Slot, Rida</au><au>Thangadurai, Sharon</au><au>Kapella, Bryan K</au><au>Hassan, Saad El-Din</au><au>Po, Ly</au><au>An, Sen Sam</au><au>Gimnig, John E</au><au>McDowell, Mary</au><au>Thigpen, Michael</au><au>Armistead, Jennifer</au><au>AlMossawi, Hala Jassim</au><au>Kheang, Soy Ty</au><au>Kak, Neeraj</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Cost-effectiveness of malaria elimination in Sampov Loun Operational District, Cambodia</atitle><jtitle>MalariaWorld journal</jtitle><addtitle>Malariaworld J</addtitle><date>2020</date><risdate>2020</risdate><volume>11</volume><spage>2</spage><epage>2</epage><pages>2-2</pages><eissn>2214-4374</eissn><abstract>Over the past decade, Cambodia has seen a significant decline in its malaria burden. The government has established the goal of eliminating malaria in the country by 2025. With PMI/USAID support, Cambodia is implementing a package of interventions as part of its efforts. This assessment aimed to describe the cost of malaria elimination activities in Sampov Loun Operational District (OD) between July 2015 and March 2018, to describe the cost per malaria case detected under PMI programming, and to estimate the incremental cost-effectiveness of the elimination programme per ( ) or ( )/ mixed case averted under the Cambodia Malaria Elimination Programme (CMEP) and the U.S. President's Malaria Initiative. Opportunity costs of government workers were also assessed to understand the theoretical cost of sustaining this programme through government efforts alone. We conducted an empirical micro-costing analysis based on elimination activities alone using CMEP internal project implementation data and corresponding epidemiologic data from July 2015 to March 2018 and empirical findings from implementation to date. We then constructed a cost model in Microsoft Excel using empirical data and used a cost-effectiveness decision tree to describe programme effectiveness in the first three years of implementation and to estimate efficacy for the subsequent year. The total cost of malaria elimination activities in Sampov Loun OD from July 2015 to March 2018 was $883,096. The cost per case of malaria detected in 2017 was $1,304. Including opportunity costs for government staff from July 2015 to March 2018, the total cost was $926,000. Under continued CMEP implementation, the projected future total cost of the program would be about $110,000 per year, or $0.64 per Sampov Loun resident. The incremental cost-effectiveness of the elimination programme was $28 for every additional or mix malaria case averted, compared to the no-CMEP proxy. CMEP activities are cost effective compared to the no-CMEP proxy, as shown through an incremental cost-effectiveness of $28 for every additional or mix malaria case averted. The total cost of the project is 0.93% of the total per capita spending on health in Cambodia and about 5% of all government health expenditure. Continuing investments in malaria will be needed at national level for stewardship and governance and at local level for ensuring programme readiness in case of malaria outbreaks.</abstract><cop>Netherlands</cop><pub>Dutch Malaria Foundation</pub><pmid>34532221</pmid><tpages>1</tpages><oa>free_for_read</oa></addata></record>
fulltext fulltext
identifier EISSN: 2214-4374
ispartof MalariaWorld journal, 2020, Vol.11, p.2-2
issn 2214-4374
language eng
recordid cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_8415074
source PubMed Central
title Cost-effectiveness of malaria elimination in Sampov Loun Operational District, Cambodia
url http://sfxeu10.hosted.exlibrisgroup.com/loughborough?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-02-01T15%3A43%3A06IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_pubme&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Cost-effectiveness%20of%20malaria%20elimination%20in%20Sampov%20Loun%20Operational%20District,%20Cambodia&rft.jtitle=MalariaWorld%20journal&rft.au=Por,%20Ir&rft.date=2020&rft.volume=11&rft.spage=2&rft.epage=2&rft.pages=2-2&rft.eissn=2214-4374&rft_id=info:doi/&rft_dat=%3Cproquest_pubme%3E2574382695%3C/proquest_pubme%3E%3Cgrp_id%3Ecdi_FETCH-LOGICAL-p1114-c4781b34ec6e7cac9f65039b57de72e5d3ebbe7d99e8a9d5e1556682d1b91d1f3%3C/grp_id%3E%3Coa%3E%3C/oa%3E%3Curl%3E%3C/url%3E&rft_id=info:oai/&rft_pqid=2574382695&rft_id=info:pmid/34532221&rfr_iscdi=true