Objectives: To compare the costs and consequences of a social marketing approach to malaria control through insecticide-treated nets in two rural districts of Tanzania.
Methods: Prospective collection of project cost data from accounting records. Community effectiveness estimated using a nested case-control study and a cross-sectional cluster sample survey.
Findings: The social marketing approach to ITN distribution is estimated to cost $1560 per death averted and $57 per DALY averted. When the costs and consequences of untreated nets are added these costs fall to $1018/death averted and $37/DALY averted.
Conclusions: Social marketing of ITNs is an attractive intervention for preventing childhood deaths from malaria.
Bulletin of the World Health Organization (2003) 81 (4) 269-276