Table 3

Sensitivity Analysis – Impact of varying major assumptions on gross and net costs per malaria case averted

Variable
Change
Impact on gross cost per malaria case averted
Impact on net cost/savings per malaria case averted

Attribution of shared campaign costs
All shared costs borne by measles component.
Decrease from 4.40 USD to 3.96 USD.
Decrease from 3.26 USD to 2.83 USD.
Attribution of shared campaign costs
All shared costs borne by malaria component.
Increase from 4.40 USD to 4.83 USD.
Increase from 3.26 USD to 3.69 USD.
Discount Rate
Decrease from 5% to 3%
Minimal decrease from 4.40 USD to 4.39 USD.
Minimal decrease from 3.26 USD to 3.25 USD.
Discount Rate
Increase from 5% to 7%
Minimal increase from 4.40 USD to 4.41 USD.
Minimal increase from 3.26 USD to 3.27 USD.
Lifetime of vehicles
From 8 and 10 years (depending on model) to 5 years
No change.
Minimal increase from 3.26 USD to 3.27 USD.
Exchange Rate
From 1/12/2004 to 1/10/2004
Minimal increase from 4.40 USD to 4.41 USD.
Minimal increase from 3.26 USD to 3.28 USD.
Exchange Rate
From 1/12/2004 to 1/1/2005
Minimal increase from 4.40 USD to 4.43 USD.
Minimal increase from 3.26 USD to 3.30 USD.
Price of LLITN
10% increase
Increase from 4.40 USD to 4.72 USD.
Increase from 3.26 USD to 3.58 USD.

10% decrease
Decrease from 4.40 USD to 4.08 USD.
Decrease from 3.26 USD to 2.94 USD.
Duration of usage of LLITN
From 3 years to 2 years
Increase from 4.40 USD to 6.60 USD.
Increase from 3.26 USD to 5.46 USD.

From 3 years to 4 years
Decrease from 4.40 USD to 3.30 USD.
Decrease from 3.26 USD to 2.16 USD.
Usage of LLITN among < 5 year old children
From current ratio of 54% in Togo to higher rates used in Cochrane review (70%)
Decrease from 4.40 USD to 3.39 USD.
Decrease from 3.26 USD to 2.25 USD.
Increase in transmission
From incidence of 1,209 per 1,000 p.a. to 1,727 per 1,000 p.a.
Decrease from 4.40 USD to 3.08 USD.
Decrease from 3.26 USD to 1.94 USD.
Decrease in transmission
From incidence of 1,209 per 1,000 p.a. to 237 per 1,000 p.a.
Increase from 4.40 USD to 22.43 USD.
Increase from 3.26 USD to 21.29 USD.
Percentage of febrile children accessing public health facilities
From 30% to 10%
No change by definition.
Increase from 3.26 USD to 4.02 USD.

From 30% to 100%
No change by definition.
Decrease from 3.26 USD to 0.61 USD.

Mueller et al. Malaria Journal 2008 7:73   doi:10.1186/1475-2875-7-73

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