Imperial College London
Dr Lesong Conteh

DrLesongConteh

Faculty of Medicine, School of Public Health

Visiting Reader
 
 
 
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Contact

 

+44 (0)20 7594 5029l.conteh

 
 
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Location

 

32ANorfolk PlaceSt Mary's Campus

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Summary

 

Publications

Citation

BibTex format

@article{Pitt:2017:heapol/czx084,
author = {Pitt, C and Ndiaye, M and Conteh, L and Sy, O and Hadj, Ba E and Cissé, B and Gomis, JF and Gaye, O and Ndiaye, J-L and Milligan, PJ},
doi = {heapol/czx084},
journal = {Health Policy and Planning},
pages = {1256--1266},
title = {Large-scale delivery of seasonal malaria chemoprevention to children under 10 in Senegal: an economic analysis.},
url = {http://dx.doi.org/10.1093/heapol/czx084},
volume = {32},
year = {2017}
}
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RIS format (EndNote, RefMan)

TY  - JOUR
AB  - Seasonal Malaria Chemoprevention (SMC) is recommended for children under 5 in the Sahel and sub-Sahel. The burden in older children may justify extending the age range, as has been done effectively in Senegal. We examine costs of door-to-door SMC delivery to children up to 10 years by community health workers (CHWs). We analysed incremental financial and economic costs at district level and below from a health service perspective. We examined project accounts and prospectively collected data from 405 CHWs, 46 health posts, and 4 district headquarters by introducing questionnaires in advance and completing them after each monthly implementation round. Affordability was explored by comparing financial costs of SMC to relevant existing health expenditure levels. Costs were disaggregated by administration month and by health service level. We used linear regression models to identify factors associated with cost variation between health posts. The financial cost to administer SMC to 180 000 children over one malaria season, reaching ∼93% of children with all three intended courses of SMC was $234 549 (constant 2010 USD) or $0.50 per monthly course administered. Excluding research-participation incentives, the financial cost was $0.32 per resident (all ages) in the catchment area, which is 1.2% of Senegal's general government expenditure on health per capita. Economic costs were 18.7% higher than financial costs at $278 922 or $0.59 per course administered and varied widely between health posts, from $0.38 to $2.74 per course administered. Substantial economies of scale across health posts were found, with the smallest health posts incurring highest average costs per monthly course administered. SMC for children up to 10 is likely to be affordable, particularly where it averts substantial curative care costs. Estimates of likely costs and cost-effectiveness of SMC in other contexts must account for variation in average costs across deliver
AU  - Pitt,C
AU  - Ndiaye,M
AU  - Conteh,L
AU  - Sy,O
AU  - Hadj,Ba E
AU  - Cissé,B
AU  - Gomis,JF
AU  - Gaye,O
AU  - Ndiaye,J-L
AU  - Milligan,PJ
DO  - heapol/czx084
EP  - 1266
PY  - 2017///
SN  - 1460-2237
SP  - 1256
TI  - Large-scale delivery of seasonal malaria chemoprevention to children under 10 in Senegal: an economic analysis.
T2  - Health Policy and Planning
UR  - http://dx.doi.org/10.1093/heapol/czx084
UR  - https://www.ncbi.nlm.nih.gov/pubmed/28981665
UR  - http://hdl.handle.net/10044/1/51867
VL  - 32
ER  -
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