Conducting a cost analysis to address issues of budget constraints on the implementation of the indoor residual spray program. an intervention to control and eliminate Malaria in two districts of Maputo Province, Mozambique

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dc.contributor.advisorCleary, Susan
dc.contributor.authorCanana, Neide Mércia de Orlando Hussene
dc.date.accessioned2020-03-04T11:02:25Z
dc.date.available2020-03-04T11:02:25Z
dc.date.issued2019
dc.date.updated2020-03-04T10:45:34Z
dc.description.abstractIntroduction: Over the past few years, the capacity of the government of Mozambique to sustain the cost of payment of salaries to operationalize the Indoor Residual Spray (IRS), a widely recommended tool to control and prevent malaria, is facing numerous challenges. This is due to recent restrictions of the Official Development Assistance (ODA), an external aid scheme and the main source of financing of the Mozambican government budget. Objective: The objective of this study was to estimate the cost of IRS operationalization activities in Matutuine and Namaacha districts health directorates, in Maputo Province, Mozambique. Methods: A cost analysis using an approach from the provider’s perspective was conducted in two district health directorates in the Maputo province, Matutuine and Namaacha. The institutions were purposely selected since in 2014 in both districts the expenditure on salaries to operationalize IRS was funded by the government budget. Cost information was collected retrospectively and both economic and financial costs were calculated. Uncertainty of results was tested using “one-way” deterministic sensitivity analysis. Results: The average total annual economic cost was 117,351.34 US$. The average economic cost per households sprayed totalled 16.35 US$. On average the economic costs per person protected is 4.09 US$ in total. In the financial analysis, the average total annual financial costs totalled 69,174.83 US$. The average financial cost per household sprayed and per person protected were 9.84 US$ and 2.46 US$ respectively. Vehicles, personnel salaries and consumables were the major substantial cost components. Conclusion: Setting aside the ODA restriction and focusing on the aim of implementing IRS within the existing resources, the study makessuggestions for improving efficiency by focusing on areas with a higher need and pays attention to cost drivers in order to reduce the costs.
dc.identifier.apacitationCanana, N. M. d. O. H. (2019). <i>Conducting a cost analysis to address issues of budget constraints on the implementation of the indoor residual spray program. an intervention to control and eliminate Malaria in two districts of Maputo Province, Mozambique</i>. (). ,Faculty of Health Sciences ,Department of Public Health and Family Medicine. Retrieved from http://hdl.handle.net/11427/31476en_ZA
dc.identifier.chicagocitationCanana, Neide Mércia de Orlando Hussene. <i>"Conducting a cost analysis to address issues of budget constraints on the implementation of the indoor residual spray program. an intervention to control and eliminate Malaria in two districts of Maputo Province, Mozambique."</i> ., ,Faculty of Health Sciences ,Department of Public Health and Family Medicine, 2019. http://hdl.handle.net/11427/31476en_ZA
dc.identifier.citationCanana, N.M.d.O.H. 2019. Conducting a cost analysis to address issues of budget constraints on the implementation of the indoor residual spray program. an intervention to control and eliminate Malaria in two districts of Maputo Province, Mozambique. . ,Faculty of Health Sciences ,Department of Public Health and Family Medicine. http://hdl.handle.net/11427/31476en_ZA
dc.identifier.ris TY - Thesis / Dissertation AU - Canana, Neide Mércia de Orlando Hussene AB - Introduction: Over the past few years, the capacity of the government of Mozambique to sustain the cost of payment of salaries to operationalize the Indoor Residual Spray (IRS), a widely recommended tool to control and prevent malaria, is facing numerous challenges. This is due to recent restrictions of the Official Development Assistance (ODA), an external aid scheme and the main source of financing of the Mozambican government budget. Objective: The objective of this study was to estimate the cost of IRS operationalization activities in Matutuine and Namaacha districts health directorates, in Maputo Province, Mozambique. Methods: A cost analysis using an approach from the provider’s perspective was conducted in two district health directorates in the Maputo province, Matutuine and Namaacha. The institutions were purposely selected since in 2014 in both districts the expenditure on salaries to operationalize IRS was funded by the government budget. Cost information was collected retrospectively and both economic and financial costs were calculated. Uncertainty of results was tested using “one-way” deterministic sensitivity analysis. Results: The average total annual economic cost was 117,351.34 US$. The average economic cost per households sprayed totalled 16.35 US$. On average the economic costs per person protected is 4.09 US$ in total. In the financial analysis, the average total annual financial costs totalled 69,174.83 US$. The average financial cost per household sprayed and per person protected were 9.84 US$ and 2.46 US$ respectively. Vehicles, personnel salaries and consumables were the major substantial cost components. Conclusion: Setting aside the ODA restriction and focusing on the aim of implementing IRS within the existing resources, the study makessuggestions for improving efficiency by focusing on areas with a higher need and pays attention to cost drivers in order to reduce the costs. DA - 2019 DB - OpenUCT DP - University of Cape Town KW - family medicine LK - https://open.uct.ac.za PY - 2019 T1 - Conducting a cost analysis to address issues of budget constraints on the implementation of the indoor residual spray program. an intervention to control and eliminate Malaria in two districts of Maputo Province, Mozambique TI - Conducting a cost analysis to address issues of budget constraints on the implementation of the indoor residual spray program. an intervention to control and eliminate Malaria in two districts of Maputo Province, Mozambique UR - http://hdl.handle.net/11427/31476 ER - en_ZA
dc.identifier.urihttp://hdl.handle.net/11427/31476
dc.identifier.vancouvercitationCanana NMdOH. Conducting a cost analysis to address issues of budget constraints on the implementation of the indoor residual spray program. an intervention to control and eliminate Malaria in two districts of Maputo Province, Mozambique. []. ,Faculty of Health Sciences ,Department of Public Health and Family Medicine, 2019 [cited yyyy month dd]. Available from: http://hdl.handle.net/11427/31476en_ZA
dc.language.rfc3066eng
dc.publisher.departmentDepartment of Public Health and Family Medicine
dc.publisher.facultyFaculty of Health Sciences
dc.subjectfamily medicine
dc.titleConducting a cost analysis to address issues of budget constraints on the implementation of the indoor residual spray program. an intervention to control and eliminate Malaria in two districts of Maputo Province, Mozambique
dc.typeMaster Thesis
dc.type.qualificationlevelMasters
dc.type.qualificationnameMPH
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