Evidence map›Paper›PMID 31036511›Full record

ArticleThe Lancet. Infectious diseases2019

Tracking spending on malaria by source in 106 countries, 2000-16: an economic modelling study.

Annie Haakenstad, Anton Connor Harle, Golsum Tsakalos, Angela E Micah, Tianchan Tao, Mina Anjomshoa, Jessica Cohen, Nancy Fullman, Simon I Hay, Tomislav Mestrovic and 7 more

Open access · hybridAbstract read
In one paragraph

Article in The Lancet. Infectious diseases, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
36citing papers in PubMed, 2 pooled it
10.4field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

36 citing papers in PubMed, 2 syntheses or guidelines pooled it, 82 citations in OpenAlex.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

17 authors at 7 institutions in 7 countries.

Annie HaakenstadHarvard T H Chan School of Public Health, Boston, MA, USA.
Anton Connor HarleInstitute for Health Metrics and Evaluation, Seattle, WA, USA.
Golsum TsakalosInstitute for Health Metrics and Evaluation, Seattle, WA, USA.
Angela E MicahInstitute for Health Metrics and Evaluation, Seattle, WA, USA.
Tianchan TaoInstitute for Health Metrics and Evaluation, Seattle, WA, USA.
Mina AnjomshoaRafsanjan University of Medical Sciences Social Determinants of Health Research Center, Rafsanjan, Iran; Department of Health Management and Economics, Tehran University of Medical Sciences, Tehran, Iran; Tehran University of Medical Sciences Department of Health Management and Economics, Tehran, Iran.
Jessica CohenHarvard T H Chan School of Public Health, Boston, MA, USA.
Nancy FullmanInstitute for Health Metrics and Evaluation, Seattle, WA, USA.
Simon I HayInstitute for Health Metrics and Evaluation, Seattle, WA, USA.
Tomislav MestrovicDr Zora Profozic Polyclinic Clinical Microbiology and Parasitology Unit, Zagreb, Croatia; University Centre Varazdin, Varazdin, Croatia.
Shafiu MohammedAhmadu Bello University, Zaria, Nigeria; Heidelberg University Institute of Public Health, Heidelberg, Germany.
Seyyed Meysam MousaviTehran University of Medical Sciences Department of Health Management and Economics, Tehran, Iran.
Molly R NixonInstitute for Health Metrics and Evaluation, Seattle, WA, USA.
David PigottInstitute for Health Metrics and Evaluation, Seattle, WA, USA.
Khanh TranUniversity of Auckland Department of Molecular Medicine and Pathology, Auckland, New Zealand; Military Medical University Department of Clinical Hematology and Toxicology, Hanoi, Vietnam.
Christopher J L MurrayInstitute for Health Metrics and Evaluation, Seattle, WA, USA.
Joseph L DielemanInstitute for Health Metrics and Evaluation, Seattle, WA, USA. Electronic address: dieleman@uw.edu.
Institute for Health Metrics and Evaluation · USHarvard University · USAhmadu Bello University · NGOpća Bolnica Varaždin · HRRafsanjan University of Medical Sciences · IRTehran University of Medical Sciences · IRVietnam Military Medical University · VN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSustaining achievements in malaria control and making progress toward malaria elimination requires coordinated funding. We estimated domestic malaria spending by source in 106 countries that were malaria-endemic in 2000-16 or became malaria-free after 2000.

methodsWe collected 36 038 datapoints reporting government, out-of-pocket (OOP), and prepaid private malaria spending, as well as malaria treatment-seeking, costs of patient care, and drug prices. We estimated government spending on patient care for malaria, which was added to government spending by national malaria control programmes. For OOP malaria spending, we used data reported in National Health Accounts and estimated OOP spending on treatment. Spatiotemporal Gaussian process regression was used to ensure estimates were complete and comparable across time and to generate uncertainty.

findingsIn 2016, US$4·3 billion (95% uncertainty interval [UI] 4·2-4·4) was spent on malaria worldwide, an 8·5% (95% UI 8·1-8·9) per year increase over spending in 2000. Since 2000, OOP spending increased 3·8% (3·3-4·2) per year, amounting to $556 million (487-634) or 13·0% (11·6-14·5) of all malaria spending in 2016. Governments spent $1·2 billion (1·1-1·3) or 28·2% (27·1-29·3) of all malaria spending in 2016, increasing 4·0% annually since 2000. The source of malaria spending varied depending on whether countries were in the malaria control or elimination stage.

interpretationTracking global malaria spending provides insight into how far the world is from reaching the malaria funding target of $6·6 billion annually by 2020. Because most countries with a high burden of malaria are low income or lower-middle income, mobilising additional government resources for malaria might be challenging.

fundingThe Bill & Melinda Gates Foundation.

Indexed as

Global HealthModels, EconomicDeveloping CountriesDrug CostsFinancing, GovernmentHealth ExpendituresHumansMalaria

Identifiers

PMID31036511
PMCPMC6595179
OpenAlexW2941682436

What OpenQuestion holds

Textmetadata
LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.