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. 2019 Sep 5;12:429. doi: 10.1186/s13071-019-3689-z

Table 6.

Cost-effectiveness of a one-time MDA intervention at the district and ecological zone levels (75% coverage)

MDA strategy Level of MDA Costa (US$) DALYb (averted) ICER (US$ per DALY averted)
Community-wide at 15% Ecological zone 3,482,808 9057 385
District 2,620,471 6784 386
Community-wide at 8% Ecological zone 8,022,345 13,684 586
District 7,305,368 10,323 708
SAC only (school-aged children) at 5% Ecological zone 3,350,078 4338 772
District 3,425,714 3755 912
SAC only (school-aged children) at 3% Ecological zone 3,962,109 4506 879
District 4,872,481 3950 1234

aCost of community-based treatment and delivery, US$1.74; cost of school-based treatment and delivery, US$0.74

bDisability was calculated on the basis of updated disability weights. An equal disability weight was applied to all infection intensities

Abbreviations: DALY, disability-adjusted life-years; ICER, incremental cost-effectiveness ratio