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The important cost drivers included the remuneration of health care workers who were extensively involved in the campaign, coverage of hard-to-reach, mainly rural populations and the two-dose regimen of ivermectin. These results highlight the importance of these cost determinants and can be used to plan current and future MDA programs.
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Discover the world's research. This person is not on ResearchGate, or hasn't claimed this research yet. Cost-effectiveness analyses of ivermectin distribution have found a cost of US dollars per disability-adjusted life-year prevented - estimates comparable with other priority disease control programmes. Pending the development of an effective macrofilaricide, the distribution of ivermectin will remain a public health priority into the foreseeable future. Although not the only cause of depopulation in some otherwise fertile West African valleys, onchocerciasis prevented resettlement of these arable lands

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