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Do Price Subsidies on Artemisinin Combination Therapy for Malaria Increase Household Use?: Evidence from a Repeated Cross-Sectional Study in Remote Regions of Tanzania

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  • Jessica L Cohen
  • Prashant Yadav
  • Corrina Moucheraud
  • Sarah Alphs
  • Peter S Larson
  • Jean Arkedis
  • Julius Massaga
  • Oliver Sabot

Abstract

Background: The Affordable Medicines Facility-malaria (AMFm) is a pilot program that uses price subsidies to increase access to Artemisinin Combination Therapies (ACTs), currently the most effective malaria treatment. Recent evidence suggests that availability and affordability of ACTs in retail sector drug shops (where many people treat malaria) has increased under the AMFm, but it is unclear whether household level ACT use has increased. Methods and Findings: Household surveys were conducted in two remote regions of Tanzania (Mtwara and Rukwa) in three waves: March 2011, December 2011 and March 2012, corresponding to 3, 13 and 16 months into the AMFm implementation respectively. Information about suspected malaria episodes including treatment location and medications taken was collected. Respondents were also asked about antimalarial preferences and perceptions about the availability of these medications. Significant increases in ACT use, preference and perceived availability were found between Rounds 1 and 3 though not for all measures between Rounds 1 and 2. ACT use among suspected malaria episodes was 51.1% in March 2011 and increased by 10.9 percentage points by Round 3 (p = .017). The greatest increase was among retail sector patients, where ACT use increased from 31% in Round 1 to 49% in Round 2 (p = .037) and to 61% (p

Suggested Citation

  • Jessica L Cohen & Prashant Yadav & Corrina Moucheraud & Sarah Alphs & Peter S Larson & Jean Arkedis & Julius Massaga & Oliver Sabot, 2013. "Do Price Subsidies on Artemisinin Combination Therapy for Malaria Increase Household Use?: Evidence from a Repeated Cross-Sectional Study in Remote Regions of Tanzania," PLOS ONE, Public Library of Science, vol. 8(7), pages 1-10, July.
    • Handle: RePEc:plo:pone00:0070713
    DOI: 10.1371/journal.pone.0070713
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    References listed on IDEAS

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    1. Jessica Cohen & Pascaline Dupas & Simone Schaner, 2015. "Price Subsidies, Diagnostic Tests, and Targeting of Malaria Treatment: Evidence from a Randomized Controlled Trial," American Economic Review, American Economic Association, vol. 105(2), pages 609-645, February.
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    Cited by:

    1. Schaefer, K. Aleks, 2016. "Anti-Malarial Biotechnology, Drug Resistance, and the Dynamics of Disease Management," 2016 Annual Meeting, July 31-August 2, Boston, Massachusetts 235716, Agricultural and Applied Economics Association.

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