Table 4 Impact of replenishment on LLIN programme cost and cost effectiveness
From: Cost and cost effectiveness of long-lasting insecticide-treated bed nets - a model-based analysis
Result | Lifespan | Scenario 1: S-shaped loss rate | Scenario 2: 5% of distributed nets lost p.a. | Scenario 3: 10% of remaining nets lost p.a. |
|---|---|---|---|---|
Number of replenishment nets required | 3 years | 717,000 | 300,00 | 600,000 |
4 years | 644,600 | 350,000 | 700,000 | |
Total replenishment cost (delivery cost) | 3 years | USD 4.47 m (USD 906,000) | USD 1.87 m (USD 382,000) | USD 3.75 m (USD 767,000) |
4 years | USD 4.32 m (USD 816,000) | USD 2.17 m (USD 443,000) | USD 4.34 m (USD 886,000) | |
Impact of replenishment on programme cost | 3 years | +26% | +11% | +22% |
4 years | +33% | +17% | +33% | |
Impact of replenishment on programme effect (under-5 deaths averted) | 3 years | 2780 more deaths averted (+9.9%) | 1386 more deaths averted (+4.7%) | 2680 more deaths averted (+9.5%) |
4 years | 3087 more deaths averted (+11%) | 2002 more deaths averted (+7.0%) | 3764 more deaths averted (+14%) | |
Cost per under-5 death averted with (without) replenishment | 3 years | USD 701 (611) | USD 617 (582) | USD 678 (609) |
4 years | USD 567 (474) | USD 497 (456) | USD 568 (486) | |
Incremental cost effectiveness of replenishment: cost per additional under-5 death averted (per person protected p.a) | 3 years | USD 1609 (25) | USD 1353 (21) | USD 1399 (22) |
4 years | USD 1400 (22) | USD 1085 (17) | USD 1154 (18) |