Child Health Inequity through Case Management of Under-Five Malaria in Nigeria: An ECEA
2022
This study assesses the potential impact of subsidies covering the direct and indirect costs of under-five malaria case management in Nigeria, utilizing an extended cost-effectiveness analysis (ECEA) and a decision tree model. Findings reveal that fully subsidizing medical, non-medical, and indirect costs could annually avert over 19,000 under-five deaths, 8,600 cases of catastrophic health expenditure (CHE), and US$187 million in out-of-pocket (OOP) spending. Per US$1 million invested, this translates to a significant reduction in under-five deaths, cases of CHE, and OOP expenditure. Pro-poor targeting of subsidies is shown to yield greater benefits, with the poorest 40% of Nigerians accounting for the majority of deaths, OOP expenditure averted, and cases of CHE averted. Optimal allocation of resources indicates that partial subsidies of medical costs alongside full subsidies of non-medical and indirect costs would be more effective than fully subsidizing only medical costs. The study underscores the potential of targeted interventions to mitigate illness-related impoverishment and child mortality in Nigeria, emphasizing equity considerations in policymaking.
Child Health Inequity through Case Management of Under-Five Malaria in Nigeria: An ECEA
Source:
Dasgupta RR, Mao W, Ogbuoji O. Addressing Child Health Inequity through Case Management of Under-Five Malaria in Nigeria: An Extended Cost-Effectiveness Analysis. Malaria Journal 2022; 21 (81). https://doi.org/10.1186/s12936-022-04113-w