Malaria burden and costs of intensified control in Bhutan, 2006-2014: A situational analysis

Wangdi, Kinley, Banwell, Cathy, Gatton, Michelle L., Kelly, Gerard C., Namgyal, Rinzin, & Clements, Archie C.A. (2016) Malaria burden and costs of intensified control in Bhutan, 2006-2014: A situational analysis. Lancet Global Health, 4(5), e336-e343.

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  • Introduction

Malaria cases have dwindled in Bhutan with aim of malaria elimination by 2016. The aims of this study are to determine the trends and burden of malaria, the costs of intensified control activities, the main donors of the control activities and the costs of different preventive measures in the pre-elimination phase (2006-2014).

  • Methods

A descriptive analysis of malaria surveillance data from 2006-2014 was carried out, using data from the Vector-borne Disease Control Programme (VDCP), Bhutan. Malaria morbidity and mortality among local Bhutanese and foreign nationals were analysed. The cost of different control and preventive measures, and estimation of the average numbers of long-lasting insecticidal nests (LLINs) per person were calculated.

  • Findings

There were 5,491 confirmed malaria cases from 2006 to 2014. By 2013, there was an average of one LLIN for every 1·51 individuals. The Global Fund was the main international donor accounting for > 80% of the total funds. The cost of procuring LLINs accounted for > 90% of the total cost of prevention measures.

  • Interpretation

The malaria burden reduced significantly over the study period with high coverage of LLINs in Bhutan. This foreseeable challenges that require national attention to maintain malaria-free status after elimination are importation of malaria, particularly from India; continued protection of the population in endemic districts through complete coverage with LLINs and IRS; and exploration of local funding modalities post elimination in the event there is a reduction in international funding.

Impact and interest:

1 citations in Web of Science®
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ID Code: 93724
Item Type: Journal Article
Refereed: Yes
Keywords: malaria, elimination, Bhutan, epidemiology
ISSN: 2214-109X
Divisions: Current > QUT Faculties and Divisions > Faculty of Health
Current > Schools > School of Public Health & Social Work
Copyright Owner: Copyright 2016 The Author(s)
Copyright Statement: Open Access article distributed under the terms of CC BY.
Deposited On: 15 Mar 2016 22:49
Last Modified: 19 Apr 2016 01:44

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