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Business Investing in Malaria Control: Economic Returns and ... - Path

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| DIRECT AND INDIRECT ECONOMIC EFFECTS OF MALARIA |<br />

BUSINESS INVESTING IN MALARIA CONTROL: ECONOMIC RETURNS AND A HEALTHY WORKFORCE FOR AFRICA<br />

22<br />

“Ongo<strong>in</strong>g surveillance, monitor<strong>in</strong>g <strong>and</strong> research<br />

are key. Another critical success factor is the<br />

partnership with the relevant authorities <strong>and</strong><br />

the local communities. The local community<br />

<strong>in</strong> Obuasi has been <strong>in</strong>volved <strong>in</strong> the project<br />

from the outset. It is desirable <strong>in</strong> pr<strong>in</strong>ciple, but<br />

was particularly relevant at Obuasi: the m<strong>in</strong>e’s<br />

various shafts are only a mile apart, with the<br />

town <strong>in</strong>terspersed between them, mak<strong>in</strong>g the<br />

m<strong>in</strong>e <strong>and</strong> community an <strong>in</strong>tegrated entity.”<br />

– Steve Knowles, manager of the AngloGold<br />

Ashanti malaria control programme<br />

The project <strong>in</strong>tervention area, which covered the<br />

Obuasi Municipal Assembly, <strong>in</strong>cluded about 35 000<br />

dwell<strong>in</strong>gs, which were all targeted for <strong>in</strong>door<br />

residual spray<strong>in</strong>g by a team of 116 operators.<br />

The cost of the <strong>in</strong>terventions was US$ 1.7 million<br />

for the first year <strong>and</strong> US$ 1.3 million per year<br />

thereafter. The aim was to reduce the <strong>in</strong>cidence<br />

of malaria by 50% <strong>in</strong> two years.<br />

Impact<br />

From 2005 to 2009, there was a consistent annual<br />

decrease <strong>in</strong> the <strong>in</strong>cidence of malaria <strong>in</strong> Obuasi.<br />

The total number of cases reported at the m<strong>in</strong>e’s<br />

Edw<strong>in</strong> Cade Hospital (which serves employees<br />

<strong>and</strong> dependents) decreased from 6600 cases<br />

per month <strong>in</strong> 2005 to 1150 cases per month <strong>in</strong><br />

2009. Average monthly medication costs to the<br />

company fell from US$ 55 000 <strong>in</strong> 2005 to US$ 9800<br />

<strong>in</strong> 2009 (Figure 1.2). Similarly, average monthly<br />

lost days of work due to malaria fell from 6983 <strong>in</strong><br />

2005 to 282 <strong>in</strong> 2009 (Figure 1.3).

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