Lubogo Patrick
Mbarara University of Science and Technology, Mbarara, Uganda
Title: Cost‑effectiveness analysis of integrated community case management delivery models utilizing drug sellers and community health workers for treatment of under‑five febrile cases of malaria, pneumonia, diarrhoea in rural Uganda.
Biography
Biography: Lubogo Patrick
Abstract
Background: Malaria, pneumonia and diarrhoea continue to be the leading causes of death in children under the age of five years (U5) in Uganda. To combat these febrile illnesses, integrated community case management (iCCM) delivery models utilizing community health workers (CHWs) or drug sellers have been implemented. The purpose of this study is to compare the cost effectiveness of delivering iCCM interventions via drug sellers versus CHWs in rural Uganda Methods: This study was a cost-effectiveness analysis to compare the iCCM delivery model utilizing drug sellers against the model using CHWs. The effect measure was the number of appropriately treated U5 children, and data on effectiveness came from a quasi-experimental study in Southwestern Uganda and the inSCALE cross-sectional household survey in eight districts of mid-Western Uganda. The iCCM interventions were costed using the micro-costing (ingredients) approach, with costs expressed in US dollars. Cost and effect data were linked together using a decision tree model and analysed using the Amua modelling software.