Cost of community-led larval source management and house improvement for malaria control: a cost analysis within a cluster-randomized trial in a rural district in Malawi.

ABSTRACT:

Background

House improvement (HI) to prevent mosquito house entry, and larval source management (LSM) targeting aquatic mosquito stages to prevent development into adult forms, are promising complementary interventions to current malaria vector control strategies. Lack of evidence on costs and cost-effectiveness of community-led implementation of HI and LSM has hindered wide-scale adoption. This study presents an incremental cost analysis of community-led implementation of HI and LSM, in a cluster-randomized, factorial design trial, in addition to standard national malaria control interventions in a rural area (25,000 people), in southern Malawi.

Methods

In the trial, LSM comprised draining, filling, and Bacillus thuringiensis israelensis-based larviciding, while house impro

SUBMITTER: Phiri MD 

PROVIDER: S-EPMC8200285 | biostudies-literature | 2021 Jun

REPOSITORIES: biostudies-literature