Epidemiological findings and policy implications from the nationwide schistosomiasis and intestinal helminthiasis survey in Sudan

Table 6 Cost-effectiveness of a one-time MDA intervention at the district and ecological zone levels (75% coverage)

MDA strategy	Level of MDA	Cost^a (US$)	DALY^b (averted)	ICER (US$ per DALY averted)
Community-wide at 15%	Ecological zone	3,482,808	9057	385
Community-wide at 15%	District	2,620,471	6784	386
Community-wide at 8%	Ecological zone	8,022,345	13,684	586
Community-wide at 8%	District	7,305,368	10,323	708
SAC only (school-aged children) at 5%	Ecological zone	3,350,078	4338	772
SAC only (school-aged children) at 5%	District	3,425,714	3755	912
SAC only (school-aged children) at 3%	Ecological zone	3,962,109	4506	879
SAC only (school-aged children) at 3%	District	4,872,481	3950	1234

^aCost of community-based treatment and delivery, US$1.74; cost of school-based treatment and delivery, US$0.74
^bDisability was calculated on the basis of updated disability weights. An equal disability weight was applied to all infection intensities
Abbreviations: DALY, disability-adjusted life-years; ICER, incremental cost-effectiveness ratio

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