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

Tom L. Drake, Yoel Lubell, Shwe Sin Kyaw, Angela Devine, Myat Phone Kyaw, Nicholas P.J. Day, Frank M. Smithuis, Lisa J. White

Research output: Contribution to journalArticlepeer-review

Abstract

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.

Original languageEnglish
Pages (from-to)299-306
Number of pages8
JournalApplied Health Economics and Health Policy
Volume15
Issue number3
DOIs
Publication statusPublished - 1 Jun 2017
Externally publishedYes

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