Cost-effectiveness of social marketing of insecticide-treated nets for malaria control in the United Republic of Tanzania

Bull World Health Organ. 2003;81(4):269-76. Epub 2003 May 16.


Objective: To assess the costs and consequences of a social marketing approach to malaria control in children by means of insecticide-treated nets in two rural districts of the United Republic of Tanzania, compared with no net use.

Methods: Project cost data were collected prospectively from accounting records. Community effectiveness was estimated on the basis of a nested case-control study and a cross-sectional cluster sample survey.

Findings: The social marketing approach to the distribution of insecticide-treated nets was estimated to cost 1560 US dollars per death averted and 57 US dollars per disability-adjusted life year averted. These figures fell to 1018 US dollars and 37 US dollars, respectively, when the costs and consequences of untreated nets were taken into account.

Conclusion: The social marketing of insecticide-treated nets is an attractive intervention for preventing childhood deaths from malaria.

Publication types

  • Comparative Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Bedding and Linens / economics*
  • Case-Control Studies
  • Child, Preschool
  • Cost-Benefit Analysis
  • Female
  • Humans
  • Infant
  • Infant, Newborn
  • Insecticides / economics*
  • Malaria, Falciparum / prevention & control*
  • Male
  • Mosquito Control / economics*
  • Mosquito Control / methods
  • Program Evaluation
  • Social Marketing*
  • Tanzania
  • Value of Life / economics


  • Insecticides