Cost-Effectiveness Analysis of Integrated Community Case Management Delivery Models Utilizing Drug Sellers and Community Health Workers for Treatment of Under-Five Febrile Cases of Malaria, Pneumonia, Diarrhea in Rural Uganda.

Abstract
Malaria, pneumonia, and diarrhea continue to be the leading causes of death in children under the age of ve in Uganda. To combat the above-mentioned febrile illnesses, integrated community case management (iCCM) delivery models utilizing CHWs or drug sellers have been implemented. The purpose of this study is to compare the cost-effectiveness of delivering iCCM interventions via drug sellers versus community health workers in rural Uganda. This study was a cost-effectiveness analysis to compare the iCCM delivery model utilizing drug sellers against the model using CHWs. The effect measure was the number of appropriately treated U5 children, and data on effectiveness came from a quasi-experimental study in Southwestern Uganda and the inSCALE cross-sectional household survey in eight districts of mid-Western Uganda. The iCCM interventions were costed using the micro-costing (ingredients) approach, with costs expressed in US dollars. Cost and effect data were linked together using a decision tree model and analyzed using the Amua modeling software.
Description
Keywords
Integrated Community Case Management Delivery Models, Drug Sellers, Community Health Workers, Treatment, Malaria, Pneumonia, Diarrhea, Rural Uganda
Citation
Lubogo, P., Lukyamuzi, J. E., Kyambadde, D., Komakech, A. A., Kitutu, F. E., & Mulogo, E. M. (2021). Cost-Effectiveness Analysis of Integrated Community Case Management Delivery Models Utilizing Drug Sellers and Community Health Workers for Treatment of Under-Five Febrile Cases of Malaria, Pneumonia, Diarrhea in Rural Uganda. : https://doi.org/10.21203/rs.3.rs-479714/v1