The costs and logistics of distributing ‘forest packs’ containing novel vector control tools to forest-exposed populations in Cambodia
Abstract Background Malaria incidence in the Greater Mekong Subregion has been on the decline, and most remaining malaria risk in the region is concentrated among hard-to-reach populations, especially those with exposure to forested areas. New vector control tools focused on outdoor protection in fo...
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| Format: | Article |
| Language: | English |
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BMC
2025-01-01
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| Series: | Malaria Journal |
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| Online Access: | https://doi.org/10.1186/s12936-024-05237-x |
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| author | Joshua Yukich Dyna Doum David J. McIver Jason H. Richardson Siv Sovannaroth Neil F. Lobo Allison Tatarsky |
| author_facet | Joshua Yukich Dyna Doum David J. McIver Jason H. Richardson Siv Sovannaroth Neil F. Lobo Allison Tatarsky |
| author_sort | Joshua Yukich |
| collection | DOAJ |
| description | Abstract Background Malaria incidence in the Greater Mekong Subregion has been on the decline, and most remaining malaria risk in the region is concentrated among hard-to-reach populations, especially those with exposure to forested areas. New vector control tools focused on outdoor protection in forest settings are needed for these populations. Methods The delivery of a ‘forest pack’ containing a volatile pyrethroid spatial repellent (VPSR), a topical repellent, and pyrethroid treatment of clothing was evaluated in an operational study in Cambodia. Costs were collected using micro-costing approaches and the cost of distribution for the ‘forest pack’ was estimated using standard economic evaluation approaches and examined in sensitivity analyses. Results The cost per eligible person (the target population) per malaria season for the whole pack was estimated to be 138 USD, which was nearly entirely driven by the cost of the products. Conclusions Modifications to the ‘forest pack’ including adding a longer-lasting spatial repellent product or a reduced-cost topical repellent could significantly reduce the cost of pack distribution over the course of a malaria season. |
| format | Article |
| id | doaj-art-90443f39bf1741ffb33cf40af5eb0579 |
| institution | Kabale University |
| issn | 1475-2875 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | BMC |
| record_format | Article |
| series | Malaria Journal |
| spelling | doaj-art-90443f39bf1741ffb33cf40af5eb05792025-01-12T12:08:58ZengBMCMalaria Journal1475-28752025-01-012411810.1186/s12936-024-05237-xThe costs and logistics of distributing ‘forest packs’ containing novel vector control tools to forest-exposed populations in CambodiaJoshua Yukich0Dyna Doum1David J. McIver2Jason H. Richardson3Siv Sovannaroth4Neil F. Lobo5Allison Tatarsky6School of Public Health and Tropical Medicine, Tulane UniversityHealth Forefront OrganizationMalaria Elimination Initiative, Institute for Global Health Sciences, University of California San FranciscoInnovative Vector Control Consortium (IVCC)Cambodia National Centre for Parasitology, Entomology, and Malaria ControlMalaria Elimination Initiative, Institute for Global Health Sciences, University of California San FranciscoMalaria Elimination Initiative, Institute for Global Health Sciences, University of California San FranciscoAbstract Background Malaria incidence in the Greater Mekong Subregion has been on the decline, and most remaining malaria risk in the region is concentrated among hard-to-reach populations, especially those with exposure to forested areas. New vector control tools focused on outdoor protection in forest settings are needed for these populations. Methods The delivery of a ‘forest pack’ containing a volatile pyrethroid spatial repellent (VPSR), a topical repellent, and pyrethroid treatment of clothing was evaluated in an operational study in Cambodia. Costs were collected using micro-costing approaches and the cost of distribution for the ‘forest pack’ was estimated using standard economic evaluation approaches and examined in sensitivity analyses. Results The cost per eligible person (the target population) per malaria season for the whole pack was estimated to be 138 USD, which was nearly entirely driven by the cost of the products. Conclusions Modifications to the ‘forest pack’ including adding a longer-lasting spatial repellent product or a reduced-cost topical repellent could significantly reduce the cost of pack distribution over the course of a malaria season.https://doi.org/10.1186/s12936-024-05237-xMalariaVector-controlCostSpatial repellentTopical repellentTreated clothing |
| spellingShingle | Joshua Yukich Dyna Doum David J. McIver Jason H. Richardson Siv Sovannaroth Neil F. Lobo Allison Tatarsky The costs and logistics of distributing ‘forest packs’ containing novel vector control tools to forest-exposed populations in Cambodia Malaria Journal Malaria Vector-control Cost Spatial repellent Topical repellent Treated clothing |
| title | The costs and logistics of distributing ‘forest packs’ containing novel vector control tools to forest-exposed populations in Cambodia |
| title_full | The costs and logistics of distributing ‘forest packs’ containing novel vector control tools to forest-exposed populations in Cambodia |
| title_fullStr | The costs and logistics of distributing ‘forest packs’ containing novel vector control tools to forest-exposed populations in Cambodia |
| title_full_unstemmed | The costs and logistics of distributing ‘forest packs’ containing novel vector control tools to forest-exposed populations in Cambodia |
| title_short | The costs and logistics of distributing ‘forest packs’ containing novel vector control tools to forest-exposed populations in Cambodia |
| title_sort | costs and logistics of distributing forest packs containing novel vector control tools to forest exposed populations in cambodia |
| topic | Malaria Vector-control Cost Spatial repellent Topical repellent Treated clothing |
| url | https://doi.org/10.1186/s12936-024-05237-x |
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