GROUP 4 MEMBERS

MEMOURE MBOTWA

SHYLEEN MWAFULIRWA

TAONGA FRED

GEDION

ENERST MLENGA

ANDREW MAKWINJA
GROUP WORK

EXERCISE 2

1. What is the comparison used by the student in estimating effectiveness of the IRS
program?
-Incremental cost effectiveness ratio
2. Calculate the number of malaria episodes averted by the IRS program?

# of malaria episode(IRS)=300

3. Calculate number of lives saved/deaths averted by the IRS program

# of averted by IRS program =400-300
=100
4. Calculate cost per malaria episode averted by the IRS program?

Malaria episode by IRS= Cost in (IRS)- Cost (0) intervention/change (IRS)change in

((0) Intervention

= $4500-0/300-400

=-$45

5. Calculate the cost per life saved /death averted by the IRS program
Case fatality rate=5%
Episode of malaria by IRS=300
Therefore=5% ×300÷100%=15
=300-15=285
Then 285×45=$12,825

EXERCISE 3

1. Calculate number of malaria episode averted by the ITN program

400-200=200
2. Calculate number of lives saved/deaths averted by the ITN program
200
3. Calculate cost per malaria episode averted by ITN program Malaria episode by ITN=
Cost in (ITN)- Cost (0) intervention/change (ITN)change in

((0) Intervention

= $800-0/200-400

=-$4

4. Calculate cost per life saved/deaths averted by the program

Episode of malaria by ITN= 400-200=200
 Therefore 200×$4
$800

EXERCISE 3

A. No malaria intervention

100 families

4 episodes per family

Total 400 episodes

Zero cost for intervention

B. IRS

Cost $4500.00 per year

3 episodes per family

Total 300 episodes

C. ITN

Cost $4 for 2 nets for 100 families= $800

Reduction rate of 50 %

2 episodes per family

Total 200

Calculation

ICER for IRS= change in cost of IRS and do nothing/change in effect of IRS and do nothing

Therefore= 4500-0/300-400

= -45

ICER for ITN compared to IRS= change in cost of ITN and IRS/ change in effect of ITN and
IRS

=800-4500/200-300

=37
According to the WHO threshold, both ITN & IRS are highly effective ($37 & $45/episode
respectively compared) however, the ITN is more effective and has less cost since it reduce
malaria episode by half.