Impact and efficiency of the integration of diagnosis and treatment of pneumonia in the community management of malaria in Madagascar

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 ()
Additional contact information
Marilys Victoire Razakamanana: CERDI - Centre d'Études et de Recherches sur le Développement International - UCA [2017-2020] - Université Clermont Auvergne [2017-2020] - CNRS - Centre National de la Recherche Scientifique, Institut Pasteur de Madagascar - Pasteur Network (Réseau International des Instituts Pasteur)
Martine Audibert: CERDI - Centre d'Études et de Recherches sur le Développement International - UCA [2017-2020] - Université Clermont Auvergne [2017-2020] - CNRS - Centre National de la Recherche Scientifique
Voahirana Tantely Andrianantoandro: Université catholique de Madagascar - UCM - Université catholique de Madagascar
Aina Harimanana: Institut Pasteur de Madagascar - Pasteur Network (Réseau International des Instituts Pasteur)

Post-Print from HAL

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; Paludisme; Pneumonie; Agents communautaires; Méthode de la double différence; Coût efficacité (search for similar items in EconPapers)
Date: 2020-01
Note: View the original document on HAL open archive server: https://shs.hal.science/halshs-02016710v1
References: Add references at CitEc
Citations:

Published in Revue Economique, 2020, 71 (1), pp.5-30

Downloads: (external link)
https://shs.hal.science/halshs-02016710v1/document (application/pdf)

Related works:
This item may be available elsewhere in EconPapers: Search for items with the same title.

Export reference: BibTeX RIS (EndNote, ProCite, RefMan) HTML/Text

Persistent link: https://EconPapers.repec.org/RePEc:hal:journl:halshs-02016710

Access Statistics for this paper

More papers in Post-Print from HAL
Bibliographic data for series maintained by CCSD ().