Cost-effectiveness analysis of malaria chemoprophylaxis for travellers to West-Africa
2010

Cost-effectiveness of Malaria Prevention for Travelers to West Africa

Sample size: 70000 publication Evidence: high

Author Information

Author(s): Lukas L. Widmer, Patricia R. Blank, Koen Van Herck, Christoph Hatz, Patricia Schlagenhauf

Primary Institution: University of Zürich

Hypothesis

Is partial reimbursement of malaria chemoprophylaxis cost-effective for travelers to West Africa?

Conclusion

Reimbursing 80% of the cost of the cheapest malaria chemoprophylaxis is highly effective and cost-effective for the Swiss health system.

Supporting Evidence

  • An 80% reimbursement strategy could prevent 399 malaria cases annually.
  • The current usage of malaria chemoprophylaxis among travelers is estimated at 68.7%.
  • The cost per additional malaria case prevented is €2,302 under the 80% reimbursement strategy.

Takeaway

If Switzerland helps pay for malaria prevention medicine for travelers to West Africa, it can save lives and money.

Methodology

Cost-effectiveness analysis using a decision tree model based on malaria cases imported from West Africa to Switzerland.

Potential Biases

Potential overestimation of chemoprophylaxis usage due to reliance on data from European residents rather than Swiss-specific data.

Limitations

The study relies on estimates for the use of malaria chemoprophylaxis, which may not accurately reflect actual usage among Swiss travelers.

Participant Demographics

Travelers from Switzerland to West Africa, including a significant number of immigrants.

Digital Object Identifier (DOI)

10.1186/1471-2334-10-279

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