Coverage outcomes (effects), costs, cost-effectiveness, and equity of two combinations of long-lasting insecticidal net (LLIN) distribution channels in Kenya: a two-arm study under operational conditions

Worrall, Eve; Were, Vincent; Matope, Agnes; Gama, Elvis; Olewe, Joseph; Mwambi, Dennis; Desai, Meghna; Kariuki, Simon; Buff, Ann M.; Niessen, Louis W.

doi:10.1186/s12889-020-09846-4

Table 4 Total cost and unit cost per long-lasting insecticidal net or voucher distributed by channel and by arm (US$2015)

From: Coverage outcomes (effects), costs, cost-effectiveness, and equity of two combinations of long-lasting insecticidal net (LLIN) distribution channels in Kenya: a two-arm study under operational conditions

	Per Channel Costs						Per Arm Costs				Grand Total (Pooled sample, all channels) or Average
Costs	Mass distribution campaign (MC)	Community Health Volunteer (CHV)	Antenatal and child health clinic (ANCC)	Social Marketing (SM)	Commercial Outlets (CO)	Other^cd	Costing according to planned by arm allocation (Planned)		Costing according to observed household net ownership by source/channel (Observed)
Costs	Mass distribution campaign (MC)	Community Health Volunteer (CHV)	Antenatal and child health clinic (ANCC)	Social Marketing (SM)	Commercial Outlets (CO)	Other^cd	Intervention	Control	Intervention	Control
Total Costs
Total Economic Cost^a	104,115·41	216,821·35	195,776·43	24,266·12	19,069·65	no data	336,377·45	223,671·51	296,887·03	263,161·93	560,048·96
Annualised Financial Cost	104,115·41	208,818·43	188,297·34	21,826·34	9259·07	no data	318,509·81	213,806·79	281,233·77	251,082·83	532,316·60
Annualised Economic Cost	104,115·41	208,978·60	188,446·73	21,877·59	9437·18	no data	318,859·35	213,996·16	231,141·45	301,714·05	532,855·51
Unit Costs
(i) LLINs/vouchers distributed per channel (Supply-side indicator)
Reported number	28,870	29,972	8400	4704	no data	no data	36,524^e	35,422^e	36,524^e	35,422^e	71,946
Economic^a Unit Cost	3·61	7·23	23·31	5·16	^b	^b	9·21	6·31	8·13	7·43	7·78
Annualised Economic Unit Cost^c	3·61	6·97	22·43	4·65	^b	^b	8·73	6·04	6·33	8·52	7·41
(ii) LLINs in household (Demand-side indicator)
Estimated number	33,584	20,061	7011	263	2363	1549	28,123	36,709	28,123	36,709	64,832
Economic^a Unit Cost	3·10	10·81	27·92	92·41	^b	^b	11·96	6·09	10·56	7·17	8·64
Annualised Economic Unit Cost^d	3·10	10·42	26·88	83·32	^b	^b	8·22	8·22	10·00	6·84	8·22

^aTotal financial cost equals total economic cost
^bCannot be computed as no estimate of LLINs distributed and/or total cost
^cSupply-side annualised financial costs (not shown) exactly equal to annualised economic costs for all channels except for ANCC $22·42, SM $4·64, Planned: intervention $8·72, Observed: intervention $7·70; control $7·09, and Average $7·40
^dDemand-side annualised financial unit costs (not shown) exactly equal to annualised economic unit costs except for CHV $10·41, SM $83·12, Planned: intervention $11·33, control $5·82
^eAssumes 50:50 split of LLINs/vouchers distributed between intervention and control for ANCC and SM
^dOther sources includes not known or gifts

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ISSN: 1471-2458

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