Geographic Resource Allocation Based on Cost Effectiveness: An Application to Malaria Policy.

Drake, TL; Lubell, Y; Kyaw, SS; Devine, A; Kyaw, MP; Day, NPJ; Smithuis, FM; White, LJ; (2017) Geographic Resource Allocation Based on Cost Effectiveness: An Application to Malaria Policy. Applied health economics and health policy, 15 (3). pp. 299-306. ISSN 1175-5652 DOI: 10.1007/s40258-017-0305-2

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Healthcare services are often provided to a country as a whole, though in many cases the available resources can be more effectively targeted to specific geographically defined populations. In the case of malaria, risk is highly geographically heterogeneous, and many interventions, such as insecticide-treated bed nets and malaria community health workers, can be targeted to populations in a way that maximises impact for the resources available. This paper describes a framework for geographically targeted budget allocation based on the principles of cost-effectiveness analysis and applied to priority setting in malaria control and elimination. The approach can be used with any underlying model able to estimate intervention costs and effects given relevant local data. Efficient geographic targeting of core malaria interventions could significantly increase the impact of the resources available, accelerating progress towards elimination. These methods may also be applicable to priority setting in other disease areas.

Item Type: Article
Faculty and Department: Faculty of Public Health and Policy > Dept of Global Health and Development
Research Centre: Malaria Centre
PubMed ID: 28185133


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