Cost effectiveness and strategic planning (WHO-CHOICE)

AMR D: Cost effectiveness results for Hazardous Alcohol Use

This Table provides summary results of the total population-level costs, effects and cost-effectiveness for the selected WHO sub-region and risk factor / disease for the year 2000.

KEY
I$ - International Dollars
Program Costs include costs of administration, media, training etc
Patient Costs include costs of hospital visits, drugs, etc
Incremental cost-effectiveness ratio (ICER) is defined as the incremental change in cost, divided by the incremental change in effectiveness. ICERs are reported for the successive set of interventions that would be selected at expanding levels of resource availability, starting with the intervention with the lowest cost per DALY averted, then moving to the next most cost-effective combination intervention out of the remaining available set of interventions.
Dominated is used to denote an intervention that is more costly and/or less effective than other, more efficient (single or combined) interventions; i.e. dominated interventions do not appear on the expansion path of most cost-effective strategies.

  • Summary
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    Summary of the methodologies used in the analysis
  • Full Text
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    Details on methods
    Chisholm D, Rehm J, Van Ommeren M, Monteiro M
    Reducing the Global Burden of Hazardous Alcohol Use: A Comparative Cost-Effectiveness Analysis
    Journal of Studies on Alcohol (November 2004)
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Interventions:Codes_and_Descriptions Coverage Cost per year (I$, millions) per one million_population [i.e. cost per capita] % Program costs % Patient costs DALYs averted per year per one million_population Average Cost per DALY averted Incremental Cost per DALY averted
ALC-2: Brief PHC advice 50% 0.21 33% 67% 301 691 691
ALC-3: Random Breath Testing 80% 0.34 100% 0% 185 1,847 Dominated
ALC-4: Taxation (current) 95% 0.21 100% 0% 196 1,068 Dominated
ALC-5: Taxation (current +20%) 95% 0.21 100% 0% 226 928 Dominated
ALC-6: Taxation (current +50%) 95% 0.21 100% 0% 254 826 Dominated
ALC-7: Reduced access (sales) 95% 0.17 100% 0% 117 1,447 Dominated
ALC-8: Advertising ban 95% 0.15 100% 0% 106 1,435 Dominated
ALC-9: Combination (ALC2 + ALC3) 0.52 43% 57% 476 1,097 1,792
ALC-10: Combination (ALC6 + ALC8) 0.34 100% 0% 353 975 Dominated
ALC-11: Combination (ALC3 + ALC8) 0.47 100% 0% 285 1,645 Dominated
ALC-15: Combination (ALC2 + ALC6 + ALC8) 0.55 44% 56% 641 854 Dominated
ALC-19: Combination (ALC2 + ALC3 + ALC6 + ALC8) 0.87 51% 49% 812 1,067 1,024
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