Cost analysis of school-based intermittent screening and treatment of malaria in Kenya.

摘要: Background: The control of malaria in schools is receiving increasing attention, but there remains currently no consensus as to the optimal intervention strategy. This paper analyses costs intermittent screening and treatment (IST) schools, implemented part a cluster-randomized controlled trial on Kenyan coast. Methods: Financial economic were estimated using an ingredients approach whereby all resources required delivery IST are quantified valued. Sensitivity analysis was conducted investigate how programme variation affects identify potential cost savings future implementation IST. Results: financial per child screened US$ 6.61 (economic 6.24). Key contributors salary (36%) rapid diagnostic tests (RDT) (22%). Almost half (47%) comprises redeployment existing including health worker time use hospital vehicles. identified changes that can reduce by 40%, alternative RDTs removal supervised treatment. Cost-effectiveness also likely be highly sensitive proportion children found RDT-positive. Conclusion: In current context, school-based relatively expensive intervention, reducing complexity result considerable intervention. (Costs reported 2010).