The cost-effectiveness of permethrin-treated bed nets in an area of intense malaria transmission in western Kenya

Virginia Wiseman, William A. Hawley, Feiko Ter Kuile, Penelope Phillips-Howard, John M. Vulule, Bernard L. Nahlen, Anne J. Mills

Research output: Contribution to journalArticlepeer-review

56 Citations (Scopus)

Abstract

This study compared the costs and effects of insecticide (permethrin)-treated bed net (ITN) use in children less than five years of age in an area of intense, perennial malaria transmission in western Kenya. The data were derived from a group-randomized controlled trial of ITNs conducted between 1996 and 1999. The annual net cost per life-year gained was U.S. $34 and the net annual cost per all-cause sick child clinic visit averted was U.S. $49. After taking into account a community effect (protection from malaria afforded to non-ITN users who lived within 300 meters from users) these estimates decreased to U.S. $25 and U.S. $38, respectively. This study provides further evidence that ITNs area highly cost-effective use of scarce health care resources.
Original languageEnglish
Pages (from-to)161-167
Number of pages7
JournalThe American Journal of Tropical Medicine and Hygiene
Volume68
Issue number4 SUPPL.
DOIs
Publication statusPublished - 1 Apr 2003
Externally publishedYes

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