Publication: Impact of Malaria Control on the Demand for ACTs
Date
2008-06
ISSN
Published
2008-06
Author(s)
Laxminarayan, Ramanan
Klein, Eili
Smith, David
Abstract
As planning for malaria shifts from
control to elimination and eventual eradication,
policymakers are faced with decisions about resource
allocation, and best approaches for financing malaria
control interventions. At the operational level, these
decisions will determine the relative emphasis on different
tools such as insecticide treated nets (ITNs), indoor
residual spraying (IRS) and artemisinin-based combinations
(ACTs) in various local settings. At a global level, these
decisions will guide the appropriate role of global
financing mechanisms such as the Affordable Medicines
Facility for Malaria (AMFm) in the malaria elimination
effort. Previous papers have separately examined the
cost-effectiveness of individual tools like IRS and ITNs and
financing mechanisms such as the AMFm. Here we look at the
cost-effectiveness of AMFm at different transmission
intensities and levels of malaria control. We find that
deaths averted as a result of AMFm are maximized when other
control measures such as ITNs are simultaneously applied.
Although policymakers have to tradeoff between investments
in AMFm and malaria prevention tools, our results indicate
strong synergies that get stronger as malaria control is amplified.
Citation
“Laxminarayan, Ramanan; Klein, Eili; Smith, David. 2008. Impact of Malaria Control on the Demand for ACTs. Health, Nutrition and Population (HNP)
discussion paper;. © World Bank, Washington, DC. http://openknowledge.worldbank.org/entities/publication/5f74e418-0b26-531f-8097-75d77407237b License: CC BY 3.0 IGO.”