Cost-effectiveness analysis comparing integrated and malaria-only social and behavior change programming in Nigeria: Final report

In Nigeria, the Breakthrough ACTION project, funded by the United States Agency for International Development (USAID)/Nigeria, is working closely with the Nigerian government to improve the practice of priority health behaviors, with a focus on maternal, newborn and child health and nutrition, family planning and reproductive health, malaria, and tuberculosis. Within the broader program, Breakthrough ACTION uses different social and behavior change (SBC) approaches in different states. In northern Nigeria, Breakthrough RESEARCH compared the cost-effectiveness of the integrated SBC approach addressing multiple health areas in Kebbi and Sokoto states to a malaria-only approach in Zamfara. This cost-effectiveness study examined whether the additional cost required for an integrated SBC approach (as compared to a malaria-only approach) is a cost-effective investment. Additionally, this study examined malaria-specific impacts within an integrated SBC program compared to a malaria-only program.