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Table 1 Key results from an analysis assessing costs and cost effectiveness of expanding malaria community case management to all ages in Farafangana, Madagascar from November 2019 to December 2021

From: Bringing malaria diagnosis and treatment closer to the people: economic rationale for expanding malaria community case management to all ages in a rural district in Madagascar

Indicator

Mean

Range (95% CI)

Annual health facility consultations averted

200,275.1

[135,703.7, 285,122.9]

Annual hospitalizations averted

1699.2

[171.0, 6993.9]

Deaths averted per year

99.6

[60.9, 154.6]

Additional cases seen annually per CHW

294.3

[199.8–419.7]

Incremental CHW* hours per year

110.5

[72.0, 157.4]

Startup costs

$63,210.2

[$50,270.9, $77,918.8]

Admissions costs averted

$180,637.9

[$17,792.6, $756,770.1]

Clinic costs averted

$696,546.5

[$472,720.4, $990,598.4]

DALYs averted#

3,721.7

[2,054.2, 4,863.1]

Productivity benefits

$178,907.97

[$98,213.00, $305,963.64]

Caretaker benefits

$328,908.15

[$247,732.54, $439,707.53]

Averted deaths benefits (elasticity 1.4)

$344,014.63

[$210,648.39, $534,195.37]

Inpatient daily hotel costs

$6.51

[$4.75, $8.55]

CE$ threshold

$132.92

[$25.60, $690.2]

ICER^ health system

-$21.86

[-$136.93, $95.63]

ICER^ societal perspective (no deaths)

–$135.64

[-$1,918.45, 35.89]

ICER^ societal perspective (with deaths)

-$243.29

[-$2,056.15, -$49.31]

  1. *CHW—community health worker
  2. #DALY—disability adjusted life year
  3. $CE—cost-effectiveness
  4. ^ICER—incremental cost-effectiveness ratio