Linking transmission dynamics and economic evaluation to assess schistosomiasis programme strategies across districts in Malawi
This study utilizes an integrated transmission and economic model across Malawi's 32 districts to demonstrate that while school-aged child treatment is highly cost-effective for morbidity reduction, community-wide mass drug administration is necessary for elimination and becomes cost-saving only in high-prevalence districts, highlighting the need for strategies tailored to local disease burden and programmatic goals.