Impact et efficience de l’intégration du diagnostic et du traitement de la pneumonie dans la prise en charge communautaire du paludisme à Madagascar

Marilys Victoire Razakamanana, Martine Audibert, Voahirana Tantely Andrianantoandro and Aina Harimanana

Revue économique, 2020, vol. 71, issue 1, 5-30

Abstract: In 2014, a program integrating the diagnosis and treatment of pneumonia into malaria community case management was implemented in Madagascar. Its objective was to improve the accessibility to care by the use of community health workers (CHWs). This paper aimed to assess the effectiveness and the efficiency of this program. Two districts were taken into account: Andapa, which received only basic activities (control), and Antalaha, where all activities were implemented (treated). Impact analysis based on the difference in difference methodology and cost-effectiveness analysis were made. The program had significant impact on pneumonia and malaria case management. The cost-effectiveness analysis demonstrated that the cost per case of additional malaria and pneumonia treated by CHWs was between 8.66 and 9.68 USD.

Keywords: Madagascar; malaria; pneumonia; community health workers; difference in difference methodology; cost-effectiveness (search for similar items in EconPapers)
Date: 2020
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