Cost effectiveness and strategic planning (WHO-CHOICE)

AFR D: Cost effectiveness results for Tobacco 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.

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    Summary of methods and results
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    Shibuya K, Ciercierski C, Guidon E, Bettcher DW, Evans DB, Murria CJL
    WHO Framework Convention on Tobacco Control: Development of an evidence based global health treaty
    British Medical Journal 327: 154-157
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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
TOB-2: Excise tax on tobacco products: 80% of supply price (global average) 0.16 100% 0% 926 173 Dominated
TOB-3: Excise tax on tobacco products: 300% of supply price (highest regional rate) 0.16 100% 0% 2,065 78 Dominated
TOB-4: Excise tax on tobacco products: 600% of supply price (double the highest regional rate) 0.16 100% 0% 2,769 58 58
TOB-5: Clean indoor air law enforcement 0.38 100% 0% 93 4,077 Dominated
TOB-6: Comprehensive ban on tobacco advertising 0.17 100% 0% 180 931 Dominated
TOB-7: Information dissemination 0.33 100% 0% 216 1,512 Dominated
TOB-8: Nicotine replacement therapy 1.86 10% 90% 216 8,603 Dominated
TOB-9: Combination (TOB4 + TOB7) 0.49 100% 0% 2,966 164 Dominated
TOB-10: Combination (TOB4 + TOB5 + TOB7) 0.87 100% 0% 3,050 284 Dominated
TOB-11: Combination (TOB4 + TOB6 + TOB7) 0.65 100% 0% 3,128 209 1,674
TOB-12: Combination (TOB4 + TOB6) 0.33 100% 0% 2,933 112 1,018
TOB-13: Combination (TOB4 + TOB5 + TOB6) 0.71 100% 0% 3,018 234 Dominated
TOB-14: Combination (TOB4 + TOB5 + TOB6 + TOB7) 1.03 100% 0% 3,212 322 4,512
TOB-15: Combination (ALL) 2.89 66% 34% 3,405 849 9,618
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