Remember Me
Or use your Academic/Social account:


Or use your Academic/Social account:


You have just completed your registration at OpenAire.

Before you can login to the site, you will need to activate your account. An e-mail will be sent to you with the proper instructions.


Please note that this site is currently undergoing Beta testing.
Any new content you create is not guaranteed to be present to the final version of the site upon release.

Thank you for your patience,
OpenAire Dev Team.

Close This Message


Verify Password:
Verify E-mail:
*All Fields Are Required.
Please Verify You Are Human:
fbtwitterlinkedinvimeoflicker grey 14rssslideshare1
Hanson, K; Kikumbih, N; Schellenberg, JA; Mponda, H; Nathan, R; Lake, S; Mills, A; Tanner, M; Lengeler, C (2003)
Publisher: World Health Organization (WHO)
Languages: English
Types: Article

Classified by OpenAIRE into

mesheuropmc: health care economics and organizations
OBJECTIVE: To assess the costs and consequences of a social marketing approach to malaria control in children by means of insecticide-treated nets in two rural districts of the United Republic of Tanzania, compared with no net use. METHODS: Project cost data were collected prospectively from accounting records. Community effectiveness was estimated on the basis of a nested case-control study and a cross-sectional cluster sample survey. FINDINGS: The social marketing approach to the distribution of insecticide-treated nets was estimated to cost 1560 US dollars per death averted and 57 US dollars per disability-adjusted life year averted. These figures fell to 1018 US dollars and 37 US dollars, respectively, when the costs and consequences of untreated nets were taken into account. CONCLUSION: The social marketing of insecticide-treated nets is an attractive intervention for preventing childhood deaths from malaria.
  • The results below are discovered through our pilot algorithms. Let us know how we are doing!

    • 1. Lengeler C. Insecticide-treated bednets and curtains for malaria control (Cochrane Review). Oxford: The Cochrane Library; 2000.
    • 2. Goodman CA, Coleman PG, Mills AJ. Cost-effectiveness of malaria control in sub-Saharan Africa. Lancet 1999;354:378-85.
    • 3. Aikins MK, Fox-Rushby J, D'Alessandro U, Langerock P, Cham K, New L, et al. The Gambian National Impregnated Bednet Programme: Costs, consequences and net cost-effectiveness. Social Science and Medicine 1998;46:181-91.
    • 4. Picard J, Aikins M, Alonso PL, Armstrong Schellenberg JR, Greenwood BM, Mills A. A malaria control trial using insecticide-treated bed nets and targeted chemoprophylaxis in a rural area of the Gambia, West Africa. 8. Costeffectiveness of bed net impregnation alone or combined with chemoprophylaxis in preventing mortality and morbidity from malaria in Gambian children. Transactions of the Royal Society of Tropical Medicine and Hygiene 1993; 2:53-7.
    • 5. Lengeler C, Snow RW. From efficacy to effectiveness: insecticide-treated bednets in Africa. Bulletin of the World Health Organization 1996;74:325-32.
    • 6. Schellenberg JR, Abdulla S, Minja H, Nathan R, Mukasa O, Marchant T, et al. KINET: a social marketing programme of treated nets and net retreatment for malaria control in Tanzania, with evaluation of child health and long-term survival. Transactions of the Royal Society of Tropical Medicine and Hygiene 1999;93:225-31.
    • 7. Armstrong Schellenberg JRM, Mukasa O, Abdulla S, Marchant T, Lengeler C, Kikumbih N, et al. Ifakara demographic surveillance system (Ifakara DSS). In: Population and health in developing countries. Volume 1 (INDEPTH Network). Ottawa: IDRC Books; 2002. p. 159-64.
    • 8. Tanner M, de Savigny D, Mayombana C, Hatz C, Burnier E, Tayari S, et al. Morbidity and mortality at Kilombero, Tanzania, 1982-88. In: Feachem R, Jamison D, editors. Disease and mortality in sub-Saharan Africa. Oxford: Oxford University Press; 1991. p. 286-305.
    • 9. Smith T, Charlwood JD, Kihona J, Mwankusye S, Billingsley P, Meuwissen J, et al. Absence of seasonal variation in malaria parasitaemia in an area of intense seasonal transmission. Acta Tropica 1993;54:55-72.
    • 10. Schellenberg D, Menendez C, Kahigwa E, Font F, Galindo C, Acosta C, et al. African children with malaria in an area of intense Plasmodium falciparum transmission: features on admission to the hospital and risk factors for death. American Journal of Tropical Medicine and Hygiene 1999;61:431-8.
    • 11. Minja H, Schellenberg JA, Mukasa O, Nathan R, Abdulla S, Mponda H, et al. Introducing insecticide-treated nets in the Kilombero Valley, Tanzania: the relevance of local knowledge and practice for an information, education and communication (IEC) campaign. Tropical Medicine and International Health 2001;6:614-23.
    • 12. Gold MR, Siegel JE, Russell LB, Weinstein MC. Cost effectiveness in health and medicine. New York: Oxford University Press; 1996.
    • 13. Jamison DT, Mosley WH, Measham AR, Bobadilla JL. Disease control priorities in developing countries. New York: Oxford University Press on behalf of the World Bank; 1993.
    • 14. Schellenberg JR, Abdulla S, Nathan R, Mukasa O, Marchant TJ, Kikumbih N, et al. Effect of large-scale social marketing of insecticide-treated nets on child survival in rural Tanzania. Lancet 2001;357:1241-7.
    • 15. Abdulla S, Schellenberg JA, Nathan R, Mukasa O, Marchant T, Smith T, et al. Impact on malaria morbidity of a programme supplying insecticide-treated nets in children aged under 2 years in Tanzania: community cross-sectional study. BMJ 2001;322:270-3.
    • 16. Marchant T, Schellenberg JA, Edgar T, Nathan R, Abdulla S, Mukasa O, et al. Socially-marketed insecticide-treated nets improve malaria and anaemia in pregnancy in southern Tanzania. Tropical Medicine and International Health 2002;7:149-58.
    • 17. Goodman C, Coleman P, Mills A. Economic analysis of malaria control in sub-Saharan Africa. Geneva: Global Forum for Health Research; 2000 (Strategic Research Series). p. 1-185.
    • 18. Lines JD. The technical issues. In: Lengeler C, Cattani J, de Savigny D, editors. Net gain: a new method for preventing malaria deaths. Ottawa: International Development Research Centre/WHO; 1996. p. 17-53.
    • 19. Kikumbih N. Economic analysis of social marketing and commercial sector insecticide treated net delivery models in rural communities of Tanzania. [PhD thesis.] University of London; 2002.
    • 20. Armstrong Schellenberg JRM, Minja H, Mponda H, Kikumbih N, Mushi A, Nathan R, et al. Re-treatment of mosquito nets with insecticide. Transactions of the Royal Society of Tropical Medicine and Hygiene 2002;96:368-9.
    • 21. Abdulla S, et al. Mosquito nets, poverty and equity in rural southern Tanzania. 2001. Available from: URL: http://www.mimcom.org.uk/ifakara/poverty
    • 22. Binka FN, Mensah OA, Mills A. The cost-effectiveness of permethrin impregnated bednets in preventing child mortality in Kassena-Nankana district of Northern Ghana. Health Policy 1997;41:229-39.
    • 23. Some ES. Optimizing the community effectiveness of insecticide-impregnated bednets used for malaria control in coastal Kenya: Implications of perceptions, programme organization, compliance, and costs. [PhD Thesis.] University of London; 1999.
    • 24. Hanson K, Jones C. Social marketing of insecticide treated mosquito nets, Tanzania: end of project social and economic analysis. London: Malaria Consortium, London School of Hygiene and Tropical Medicine; 2000.
    • 25. Dgedge M, Kumaranayake L, Cossa H, Hogh B, Lines J. Can the expansion of a subsidised ITN project become self-sufficient? The experience from an ITN project in Mozambique.Second International Conference on Insecticide Treated Nets; 1999; Dar es Salaam.
  • No related research data.
  • No similar publications.

Share - Bookmark

Download from

Cite this article