Cost of microbial larviciding for malaria control in rural Tanzania.
Journal Article (Journal Article)
Objective
Microbial larviciding may be a potential supplement to conventional malaria vector control measures, but scant information on its relative implementation costs and effectiveness, especially in rural areas, is an impediment to expanding its uptake. We perform a costing analysis of a seasonal microbial larviciding programme in rural Tanzania.Methods
We evaluated the financial and economic costs from the perspective of the public provider of a 3-month, community-based larviciding intervention implemented in twelve villages in the Mvomero District of Tanzania in 2012-2013. Cost data were collected from financial reports and invoices and through discussion with programme administrators. Sensitivity analysis explored the robustness of our results to varying key parameters.Results
Over the 2-year study period, approximately 6873 breeding sites were treated with larvicide. The average annual economic costs of the larviciding intervention in rural Tanzania are estimated at 2014 US$ 1.44 per person protected per year (pppy), US$ 6.18 per household and US$ 4481.88 per village, with the larvicide and staffing accounting for 14% and 58% of total costs, respectively.Conclusions
We found the costs pppy of implementing a seasonal larviciding programme in rural Tanzania to be comparable to the costs of other larviciding programmes in urban Tanzania and rural Kenya. Further research should evaluate the cost-effectiveness of larviciding relative to, and in combination with, other vector control strategies in rural settings.Full Text
Duke Authors
Cited Authors
- Rahman, R; Lesser, A; Mboera, L; Kramer, R
Published Date
- November 2016
Published In
Volume / Issue
- 21 / 11
Start / End Page
- 1468 - 1475
PubMed ID
- 27500959
Pubmed Central ID
- PMC5093077
Electronic International Standard Serial Number (EISSN)
- 1365-3156
International Standard Serial Number (ISSN)
- 1360-2276
Digital Object Identifier (DOI)
- 10.1111/tmi.12767
Language
- eng