Does Public Subsidy of the Cost of Malaria Chemoprophylaxis Reduce Imported Malaria? A Comparative Policy Analysis

Neave, PE
Taylor, S
Behrens, RH
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Journal Article
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BioMed Central

Chemoprophylaxis is recommended for at-risk travellers visiting malaria endemic regions. The majority of travellers with imported malaria have not used this, and travellers visiting friends and relatives have the largest burden of malaria and the lowest compliance to chemoprophylaxis. In 1995, the UK's Department of Health (DH) implemented a policy to make travellers fully responsible for the cost when purchasing chemoprophylaxis. This policy was not implemented in three Primary Care Trusts (PCTs) in London due to concern about the potential increase of imported malaria in their residents, and they maintained the public subsidy. An impact evaluation of the policy change was undertaken to determine if the continued subsidy reduced the incidence of imported malaria in one of the boroughs where the subsidy was maintained when compared to a borough where no subsidy was provided.

Adolescent , Adult , Aged , Aged, 80 and over , Antimalarials , Chemoprevention , Female , Financing , Government , Health services research , Human migration , Humans , London , Malaria , Male , Middle aged , Policy making , Travel , Young adult
Malaria Journal 2013, 12:238 doi:10.1186/1475-2875-12-238
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© 2013 Neave et al.; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.