Costs and cost-effectiveness of delivering intermittent preventive treatment through schools in western Kenya
2008

Cost-Effectiveness of Malaria Treatment in Schools

Sample size: 74000 publication Evidence: moderate

Author Information

Author(s): Matilda Temperley, Dirk H. Mueller, Kiambo Njagi, Willis Akhwale, Siân E. Clarke, Matthew C. H. Jukes, Benson A. Estambale, Simon Brooker

Primary Institution: London School of Hygiene and Tropical Medicine

Hypothesis

Is intermittent preventive treatment (IPT) delivered by teachers in schools a cost-effective intervention for malaria control in western Kenya?

Conclusion

IPT administered by teachers is a cost-effective school-based malaria intervention that should be explored in other settings.

Supporting Evidence

  • The cost per child treated per year was estimated at US$ 1.88.
  • The cost per case of anaemia averted was US$ 29.84.
  • The cost-effectiveness ratios were US$ 12.53 and 7.52 in settings with 30% and 50% anaemia prevalence, respectively.
  • IPT reduced the proportion of anaemic children by 50% and the prevalence of P. falciparum parasitaemia by 88%.

Takeaway

This study shows that giving malaria treatment to school kids by their teachers is a smart way to help them stay healthy without spending too much money.

Methodology

Cost data were collected from records and interviews, and effectiveness was derived from a cluster-randomised-controlled trial.

Limitations

The effectiveness estimates are based on a trial setting, which may not reflect real-world programmatic delivery.

Participant Demographics

Children aged 5–18 years in Bondo District, western Kenya.

Digital Object Identifier (DOI)

10.1186/1475-2875-7-196

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