Global investment targets for malaria control and elimination between 2016 and 2030

BMJ Global Health - Tập 2 Số 2 - Trang e000176 - 2017
Edith Patouillard1,2,3, Jamie T. Griffin4, Samir Bhatt5, Azra C. Ghani5, Richard Cibulskis1
1Global Malaria Programme, World Health Organization, Geneva, Switzerland
2Swiss Tropical and Public Health Institute, Basel, Switzerland
3Universität Basel, Basel, Switzerland
4School of Mathematical Sciences, Queen Mary University of London, Mile End Road, London, UK
5Medical Research Council Centre for Outbreak Analysis and Modelling, Department of Infectious Disease Epidemiology, Imperial College London, London, UK

Tóm tắt

BackgroundAccess to malaria control interventions falls short of universal health coverage. The Global Technical Strategy for malaria targets at least 90% reduction in case incidence and mortality rates, and elimination in 35 countries by 2030. The potential to reach these targets will be determined in part by investments in malaria. This study estimates the financing required for malaria control and elimination over the 2016–2030 period.MethodsA mathematical transmission model was used to explore the impact of increasing intervention coverage on burden and costs. The cost analysis took a public provider perspective covering all 97 malaria endemic countries and territories in 2015. All control interventions currently recommended by the WHO were considered. Cost data were sourced from procurement databases, the peer-reviewed literature, national malaria strategic plans, the WHO-CHOICE project and key informant interviews.ResultsAnnual investments of $6.4 billion (95% uncertainty interval (UI $4.5–$9.0 billion)) by 2020, $7.7 billion (95% UI $5.4–$10.9 billion) by 2025 and $8.7 billion (95% UI $6.0–$12.3 billion) by 2030 will be required to reach the targets set in the Global Technical Strategy. These are equivalent to annual investment per person at risk of malaria of US$3.90 by 2020, US$4.30 by 2025 and US$4.40 by 2030, compared with US$2.30 if interventions were sustained at current coverage levels. The 20 countries with the highest burden in 2015 will require 88% of the total investment.ConclusionsGiven the challenges in increasing domestic and international funding, the efficient use of currently available resources should be a priority.

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Tài liệu tham khảo

World Health Organization. World Malaria Report 2016. Geneva: World Health Organization, 2016.

World Health Organization. World Malaria Report 2015. Geneva: World Health Organization, 2015.

10.1038/nature15535

Gallup, 2001, The economic burden of malaria, Am J Trop Med Hyg, 64, 85, 10.4269/ajtmh.2001.64.85

World Health Organization. Global technical strategy for malaria 2016–2030. Geneva: World Health Organization, 2015.

10.1016/S1473-3099(15)00423-5

Roll Back Malaria Partnership. The Global Malaria Action Plan, 2008.

10.1186/1475-2875-10-378

Socioeconomic Data and Application Center. Global Rural-Urban Mapping Project (GRUMP): Socioeconomic Data and Application Center (SEDAC).

United Nations Department for Economic and Social Affairs. World population prospects, the 2012 revision. New York: Department for Economic and Social Affairs, 2013.

World Health Organization. World Malaria Report 2014. Geneva: World Health Organization, 2014.

10.7554/eLife.09672

10.1038/ncomms1879

10.1371/journal.pmed.1000221

Rao, 2013, The potential impact of improving appropriate treatment for fever on malaria and non-malarial febrile illness management in under-5s: a decision-tree modelling approach, PLoS ONE, 8, e69654, 10.1371/journal.pone.0069654

World Health Organization. Guidelines for the treatment of malaria, 2010.

World Health Organization. CHOICE: Choosing Interventions that are cost-effective, 2008.

World Health Organization. WHO Global Service Center: procurement prices of malaria commodities, 2014.

Goodman C , Coleman P , Mills A . Economic analysis of malaria control in sub-Saharan African. Geneva: Global Forum for Health Research, 2000.

10.1186/1475-2875-10-337

Abbott M , Johns B . PMI IRS Country Programs: comparative cost analysis. Bethesda, MD: Abt Associates Inc., 2013.

Fernandes, 2015, Cost-effectiveness of two versus three or more doses of intermittent preventive treatment for malaria during pregnancy in sub-Saharan Africa: a modelling study of meta-analysis and cost data, Lancet Glob Health, 3, e143, 10.1016/S2214-109X(14)70385-7

UNICEF. Supply catalogue. https://supply.unicef.org/unicef_b2c/app/displayApp/(layout=7.0-12_1_66_67_115&carea=%24ROOT)/.do?rf=y.

10.1371/journal.pone.0012223

Patouillard, 2011, Coverage, adherence and costs of intermittent preventive treatment of malaria in children employing different delivery strategies in Jasikan, Ghana, PLoS ONE, 6, e24871, 10.1371/journal.pone.0024871

10.1186/1475-2875-7-196

10.1371/journal.pmed.1000409

The Global Fund. Price and quality reporting. Secondary price and quality reporting. 2014. http://www.theglobalfund.org/en/procurement/pqr/ .

The World Bank. The World Bank Country and Lending Groups. Secondary The World Bank Country and Lending Groups. 2014. http://data.worldbank.org/about/country-and-lending-groups

Jarrah Z , Lee A , Wright K , et al . Costing of integrated community case management in Rwanda. http://www.tractionproject.org/sites/default/files/MSH_Costing_of_Integrated_Community_Case_Management_Analysis_Report_Rwanda.pdf , 2013

Jarrah Z , Wright K , Suraratdecha C , et al . Costing of integrated community case management in Senegal. 2013. http://www.msh.org/sites/msh.org/files/msh_costing_of_integrated_community_case_management_analysis_report_sene.pdf .

Jarrah Z , Lee A , Wright K , et al . Costing of integrated community case management in Malawi. 2013. http://www.msh.org/sites/msh.org/files/msh_costing_of_integrated_community_case_management_analysis_report_malawi.pdf .

Collins, 2014, The costs of integrated community case management (iCCM) programs: a multi-country analysis, J Glob Health, 4, 020407, 10.7189/jogh.04.020407

Ministry of Health and Social Welfare. Botswana national strategic plan for malaria 2010-2015.

Ministry of Health and Social Welfare. Nigeria national strategic plan for malaria 2014-2020.

Ministry of Health and Social Welfare. India national strategic plan for malaria 2007-2012.

Ministry of Health and Social Welfare. Eritrea national strategic plan for malaria 2015-2019.

Ministry of Health and Social Welfare. Swaziland national strategic plan for malaria 2015-2020.

Ministry of Health and Social Welfare. Namibia national strategic plan for malaria 2011-2016.

Kumaranayake, 2000, Economic costs of HIV/AIDS prevention activities in sub-Saharan Africa, AIDS, 14, S239

10.1093/heapol/czr054

Bill and Melinda Gates Foundation and NICE international. The Gates Reference Case: What it is, why it's important, and how to use it, 2014.

10.1186/1475-2875-7-S1-S11

10.2471/BLT.06.039529

Gates B , Chambers R . From Aspiration to Action: what will it take to end malaria? 2015.

Zelman, 2014, Costs of eliminating malaria and the impact of the global fund in 34 countries, PLoS ONE, 9, e115714, 10.1371/journal.pone.0115714

Yukich C . When is it safe to scale back vector control? Results of a simulation study (meeting of VCTEG, 17-19 March 2015). Geneva: World Health Organization Vector Control Technical Expert Group, 2015.

10.1093/heapol/czp066

10.1136/bmj.h4267

Xu K , Saksena P , Holly A . The determinants of health expenditure: a country-level panel data analysis. 2011. http://whttp://wwwhoint/health_financing/documents/cov-report_e_11-deter-he/en

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BMJ Global Health

Tập 2 Số 2

e000176

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