An investment case to prevent the reintroduction of malaria in Sri Lanka
JournalArticle (Originalarbeit in einer wissenschaftlichen Zeitschrift)
ID 3829022
Author(s) Shretta, Rima; Baral, Ranju; Avanceña, Anton L. V.; Fox, Katie; Dannoruwa, Asoka Premasiri; Jayanetti, Ravindra; Jeyakumaran, Arumainayagam; Hasantha, Rasike; Peris, Lalanthika; Premaratne, Risintha
Author(s) at UniBasel Shretta, Rima
Year 2017
Title An investment case to prevent the reintroduction of malaria in Sri Lanka
Journal American journal of tropical medicine and hygiene
Volume 96
Number 3
Pages / Article-Number 602-615
Abstract AbstractSri Lanka has made remarkable gains in reducing the burden of malaria, recording no locally transmitted malaria cases since November 2012 and zero deaths since 2007. The country was recently certified as malaria free by World Health Organization in September 2016. Sri Lanka, however, continues to face a risk of resurgence due to persistent receptivity and vulnerability to malaria transmission. Maintaining the gains will require continued financing to the malaria program to maintain the activities aimed at preventing reintroduction. This article presents an investment case for malaria in Sri Lanka by estimating the costs and benefits of sustaining investments to prevent the reintroduction of the disease. An ingredient-based approach was used to estimate the cost of the existing program. The cost of potential resurgence was estimated using a hypothetical scenario in which resurgence assumed to occur, if all prevention of reintroduction activities were halted. These estimates were used to compute a benefit-cost ratio and a return on investment. The total economic cost of the malaria program in 2014 was estimated at U.S. dollars (USD) 0.57 per capita per year with a financial cost of USD0.37 per capita. The cost of potential malaria resurgence was, however, much higher estimated at 13 times the cost of maintaining existing activities or 21 times based on financial costs alone. This evidence suggests a substantial return on investment providing a compelling argument for advocacy for continued prioritization of funding for the prevention of reintroduction of malaria in Sri Lanka.
Publisher Williams and Wilkins
ISSN/ISBN 0002-9637
Full Text on edoc No
Digital Object Identifier DOI 10.4269/ajtmh.16-0209
PubMed ID
ISI-Number WOS:000401761600014
Document type (ISI) Article

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