Evaluation of a universal long-lasting insecticidal net (LLIN) distribution campaign in Ghana: cost effectiveness of distribution and hang-up activities

Table 2 Cost-effectiveness of the Ghana LLIN Campaign with door-to-door distribution and hang-up activities

	Brong Ahafo	Central	Western	Combined
Population¹	2,278,862	2,115,757	2,303,207	6,697,826
Number of LLINs procured	1,338,000	1,003,100	1,346,900	3,688,000
Number of LLINs delivered	1,327,601	996,023	1,340,404	3,664,028
Cost of LLIN Campaign (USD, 2012 prices)
Total financial cost (provider perspective)	6,784,971	7,437,331	9,625,732	23,848,034
Annual economic cost (societal perspective)	3,207,176	3,335,191	4,100,270	10,642,637
Effect of LLIN Campaign
% of total population sleeping under an LLIN
Pre-campaign	26.7%	16.8%	23.0%	21.3%
Post-campaign	68.5%	45.0%	46.9%	54.4%
% of children under five sleeping under LLIN
Pre-campaign	42.0%	27.9%	32.7%	33.9%
Post-campaign	75.9%	53.4%	57.5%	63.0%
Additional number of persons using LLIN¹	952,564	596,643	550,466	2,216,980
Additional number of children under five years using LLIN^1,2	115,880	80,928	85,679	292,360
Estimated annual number of child deaths averted as result of increased LLIN use³	637	445	471	1,608
Cost-effectiveness of LLIN Campaign
Financial cost⁴ per LLIN delivered	5.11	7.47	7.18	6.51
Economic cost⁵ per LLIN delivered	2.42	3.35	3.06	2.90
Financial delivery cost^4,6 per LLIN	1.08	1.41	1.15	1.19
Economic delivery cost^5,6 per LLIN	0.99	1.21	0.93	1.03
Economic cost⁵ per additional person sleeping under an LLIN	3.37	5.59	7.45	4.80
Economic cost⁵ per additional child under five years sleeping under an LLIN	27.68	41.21	47.86	36.40
Economic cost⁵ per child death averted	5,032.12	7,493.09	8,701.59	6,618.64

¹Population estimates from 2010 census figures; ²Assumes 15% of population are under 5 years of age; ³Assumes 5.5 deaths averted per 1000 children under five years sleeping under an LLIN; ⁴Financial costs from the provider perspective; ⁵Average annual economic costs from the societal perspective (assumes 3-year useful LLIN lifespan; includes costs to recipients as well as providers); ⁶Excludes cost of LLIN and non-LLIN materials required for hanging. All costs presented in USD, 2012 prices.

ISSN: 1475-2875