Table 2. Cost-effectiveness analysis of IPTp-SPa for 1000 pregnant womenb.
Intervention costsc | 435.79 (371.80, 508.00) |
Treatment savings due to the efficacy of IPTp-SP a on clinical malaria c | |
Health system treatment savings | 422.74 (152.00, 718.00) |
Outpatient | 239.91 (84.00, 432.00) |
Inpatient | 182.82 (66.30, 308.00) |
Households' outpatient treatment savings | 117.69 (40.50, 212.70) |
Direct | 33.89 (6.10, 77.20) |
Indirect | 83.79 (29.60, 148.30) |
Households' admission treatment savings | 19.64 (−39.30, 81.00) |
Direct | 8.20 (−42.80, 55.80) |
Indirect | 11.44 (−20.50, 42.70) |
Net intervention costs c on clinical malaria | |
Intervention costs – health system treatment savings | 13.17 (−292.00, 290.00) |
Incremental cost effectiveness ratio on clinical malaria | |
Intervention costs/ Number DALYs avertedd | 41.46 (20.50, 96.70) |
Effectiveness of IPTp-SP a on clinical malaria | |
Total number of episodes avertede | 112.00 (42.00, 182.00) |
Number of outpatient episodes averted | 56.12 (20.50, 95.50) |
Number of inpatient episodes averted | 4.49 (1.63, 7.56) |
Number of maternal deaths averted | 0.39 (0.143, 0.661) |
Number of DALYsd averted | 12.20 (4.59, 20.81) |
Incremental cost effectiveness ratio on neonatal mortality | |
Intervention costs/ Number DALYs avertedd | 1.08 (0.43, 3.48) |
Effectiveness of IPTp-SP a on neonatal mortality | |
Number of neonatal deaths averted | 18.93 (4.39, 33.85) |
Number of DALYs avertedd | 555.21 (129.00, 992.00) |
Combined analysis | |
Intervention costs/Number of DALYs avertedd | 1.02 (0.42, 3.21) |
Number of DALYs avertedd | 570.95 (236.00, 908.00) |
Intermittent preventive treatment of malaria in pregnancy with sulphadoxine-pyrimethamine.
95% confidence intervals in brackets.
in US$ 2007.
Disability-adjusted life years.
Total number of episodes averted is theoretical and relies on the assumption that formal treatment is sought for any case of suspected malaria. The total number is higher than the sum of inpatients and outpatients episodes averted because number of outpatient episodes considers that only a proportion of pregnant women with symptoms of malaria, actually, seeks formal treatment.