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Economics of malaria and malaria control

HESA has the largest group of academics who work on economics in malaria, playing a central role in the LSHTM Malaria Centre. We draw on our strengths as a multidisciplinary team of economists, social scientists, clinicians and epidemiologists to apply different methodological approaches to a broad range of policy and programme relevant issues in both Sub-Saharan Africa and Asia. 

We undertake a wide range of cost-effectiveness analyses of malaria control interventions, encompassing diagnostics, drugs, treatment delivery strategies, vector control and prevention in pregnancy in association with the MIP consortium.

Another key focus of our work is the analysis of private markets for malaria-related commodities, including studies of markets for antimalarial drugs, diagnostics and insecticide treated bednets. We are also involved in a number of large-scale field evaluations of interventions to improve access to effective malaria treatment and diagnosis through public facilities, community health workers and the private sector, for example through the ACT Consortium, and the Independent Evaluation of the Affordable Medicines Facility-malaria (AMFm) ACT subsidy programme. Our work also encompasses strategies to contain the development of resistance to antimalarial drugs, in association with WWARN

Qualitative studies are another important area of our work, encompassing research on the social burden of malaria, provider behaviour, design of behavioural interventions, and the realities of participating in malaria research and trials.

Finally we explore the wider implication of malaria and malaria control through macroeconomic modelling.

List of projects (PI and other HESA staff collaborators):

IMPACT 2: Monitoring interventions to improve ACT access and targeting (ACT consortium) | Catherine Goodman (PI); Katia Bruxvoort; Rebecca Thomson | Ifakara Health Institute (IHI); US Centres for Disease Control & Prevention | Tanzania

Artemisinin Resistant Malaria Research Programme | Shunmay Yeung (PI); Philippe Guyant; Harriet Lawford; Marco Liverani; Nayantara Wijayanandana | MORU; LSTM | Cambodia; Nigeria; Bangladesh; Thailand

Malaria in Pregnancy - Economics input | Kara Hanson (PI); Silke Lutzelschwab | The Centre de Recerca en Salut Internacional de Barcelona (CRESIB); Navronga Health Research Centre(NHRC); Papua New Guinea Institute for Medical Research | Brazil; Colombia, Tanzania, Guatemala; Ghana; Papua New Guinea; India; Madagascar; Mali; Nigeria; Papua New Guinea

An equity and cost-effectiveness analysis of alternative strategies for the deployment of ACTs at the community level (ACT consortium) | Virginia Wiseman (PI); Lindsay Mangham-Jefferies | Health Policy Research Group, University of Nigeria (Enugu); University of Yaounde | Nigeria; Cameroon

Antimalarial drugs: market and supply chain research and policy recommendations (ACTwatch) | Kara Hanson (PI); Catherine Goodman; Ben Palafox; Sarah Tougher; Edith Patouillard | Benin; Democratic Republic of Congo; Cambodia; Madagascar; Nigeria; Uganda; Zambia

Independent Evaluation of the Affordable Medicines Facility – Malaria (AMFm) | Kara Hanson (PI); Catherine Goodman, Sarah Tougher, Ben Palafox | ICF International | Ghana; Niger; Madagascar; Nigeria; Uganda; Kenya; Tanzania

Understanding private sector demand for malaria medications in developing countries | Kara Hanson (PI); Ben Palafox | Benin; Madagascar; Nigeria; Uganda; Zambia

A cluster-randomised trial of health worker and community interventions to improve adherence to national guidelines for the use of ACTs in Tanzania | Hugh Reyburn (PI); Clare Chandler | National Malaria Control Programme; National Institute for Medical Research in Tanzania; Kilimanjaro Christian Medical Centre | Tanzania

Introducing malaria rapid diagnostic tests (RDTs) into the private health sector in Uganda: a randomised trial among drug shops to evaluate impact on antimalarial drug use | Sian Clarke (PI); Kristian Hansen (PI), Clare Chandler; Eleanor Hutchinson | Ministry of Health, Uganda; DBL Institute for Health Research and Development, University of Copenhagen | Uganda

An evaluation of the Cambodian Village Malaria Worker programme | Shunmay Yeung (PI); Edith Patouillard | Ministry of Health, Cambodia | Cambodia

Integrated community case management of common diseases of childhood at scale | Betty Kirkwood (PI); Kara Hanson, Anna Vassall, Frida Kasteng | Malaria Consortium | Uganda, Mozambique

Case management versus IPTp for malaria control in pregnant women: provider and user perspectives | Mylene Lagarde (PI) | Ghana

Willingness to pay for malaria rapid diagnostic tests | Shunmay Yeung (PI); Kristian Hansen | Uganda

Working with plantation owners to control malaria and antimalarial drug resistance | Shunmay Yeung (PI); Rebecca Thomson | Cambodia

Malaria rapid diagnostic tests in context | Shunmay Yeung (PI); Catherine Goodman (PI); Clare Chandler (PI); David Bath

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