Economists have been centrally involved in the Malaria Centre from the outset, contributing evidence to support a series of key policy recommendations over the past two decades. This has been achieved through work in two broad areas: analysis of the cost-effectiveness of malaria control, and understanding the demand and supply of malaria commodities and services.
Cost-effectiveness modelling by Catherine Goodman, Paul Coleman and Anne Mills demonstrated that malaria control interventions were . As global investment in malaria control expanded, spearheaded by the creation of Roll Back Malaria in 1999, LSHTM economists demonstrated the cost-effectiveness of changing first-line drug in the presence of ; introducing ; and artemisinin treatment for . Prevention studies included strong programmes of work on the cost-effectiveness of , preventing , and in children. This work continues today, with economists contributing to trials of next generation nets (David Bath and Catherine Pitt) and seasonal malaria vaccination (Silke Fernandes).
The role of the private sector in delivering malaria control interventions has been a strong focus for Malaria Centre economists. Kara Hanson and colleagues studied the in Tanzania, contributing to about ITN distribution at that time. Catherine Goodman's work documenting the importance of the private retail sector as a source of was used in the development of an audacious proposal from the US Institute of Medicine to subsidise artemisinin-based combination therapy (ACT) in the private sector, which led to the creation of the Affordable Medicines Facility-malaria (AMFm). The methods for studying markets that we developed were adopted on a large scale through the and the Independent Evaluation of , and informed the subsequent decision of the Global Fund to integrate subsidies for private sector distribution of ACTs into its country programmes. The Malaria Centre researchers' experience of engaging with the private sector was distilled in the they drafted for Global Fund country applicants on working with the private sector for malaria case management.
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