Comparison of the cost and cost‐effectiveness of insecticide‐treated bednets and residual house‐spraying in KwaZulu‐Natal, South Africa

@article{Goodman2001ComparisonOT,
  title={Comparison of the cost and cost‐effectiveness of insecticide‐treated bednets and residual house‐spraying in KwaZulu‐Natal, South Africa},
  author={Catherine A Goodman and A. E. P. Mnzava and S. S. Dlamini and Brian L. Sharp and December Mthembu and Jonathan Gumede},
  journal={Tropical Medicine \& International Health},
  year={2001},
  volume={6}
}
Residual house‐spraying (RHS) has been the mainstay of South African malaria prevention for more than 50 years, but it has been argued that insecticide‐treated bednets (ITBN) could be a more effective and appropriate method of control. To provide a rational basis for choosing between the interventions, a trial was conducted during 1998 and 1999 in northern KwaZulu‐Natal to collect comparable data on the effectiveness, acceptability and cost of the two interventions. The current practice of… 

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...

References

SHOWING 1-10 OF 45 REFERENCES

Control of malaria vectors: cost analysis in a province of northern Vietnam

TLDR
The cost of permethrin‐treated bednets was compared to the cost of residual spraying with lambdacyhalothrin 10% WP in Hoa Binh, a mountainous province in northern Vietnam, and the difference was smaller than expected.

Use of insecticide-treated bednets by communities reduces malaria transmission in comparison to house spraying in KwaZulu-Natal.

TLDR
The use of insecticide-treated bednets resulted in significant reductions in malaria incidence in comparison to insecticide home spraying and was cheaper per person covered than house spraying in terms of cost-effectiveness.

A comparison of use of a pyrethroid either for house spraying or for bednet treatment against malaria vectors

TLDR
In an intensely malarious area in north‐east Tanzania, microencapsulated lambdacyhalothrin was used in four villages for treatment of bednets and in another four villages the same insecticide was used for house spraying, concluding that the former intervention would work out cheaper and nets were actively demanded by the villagers, whereas spraying was only passively assented to.

Cost of malaria control in Sri Lanka.

TLDR
Estimates of the cost of various malaria control measures in an area of North-Central Province of Sri Lanka can guide health planners and government decision-makers in choosing the most appropriate combination of curative and preventive measures to control malaria.

From efficacy to effectiveness: insecticide-treated bednets in Africa.

TLDR
The history of ITBC and the different phases of their assessment are traced, especially the determination of efficacy in randomized controlled trials (phase III assessment), and the reasons for continued assessment of their effectiveness under programme conditions (phase IV assessment).

The Gambian National Impregnated Bednet Programme: costs, consequences and net cost-effectiveness.

The evidence base on the cost-effectiveness of malaria control measures in Africa.

TLDR
The range and quality of the evidence base on the cost-effectiveness of malaria prevention and treatment in sub-Saharan Africa is assessed, covering insecticide-treated nets, residual spraying, chemoprophylaxis for children, chemoplylaxis or intermittent treatment for pregnant women, a hypothetical vaccine, and changing the first line drug for treatment.

Insecticide-treated bednets and curtains for preventing malaria.

  • C. Lengeler
  • Medicine
    The Cochrane database of systematic reviews
  • 2000
TLDR
Insecticide-treated nets appear to be effective in reducing childhood mortality and morbidity from malaria, and widespread access to insecticide- treated nets will require major financial, technical and operational inputs.