Cost effectiveness and strategic planning (WHO-CHOICE)

AFR E: 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.

  • Summary
    Summary of the methodologies used in the analysis
  • More Information
    Details on Methods:
    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) 0.10 100% 0% 1,140 85 Dominated
TOB-3: Excise tax on tobacco products: 300% of supply price (highest regional rate) 0.10 100% 0% 2,351 41 Dominated
TOB-4: Excise tax on tobacco products: 600% of supply price (double the highest regional rate) 0.10 100% 0% 2,994 33 33
TOB-5: Clean indoor air law enforcement 0.26 100% 0% 144 1,782 Dominated
TOB-6: Comprehensive ban on tobacco advertising 0.11 100% 0% 261 410 Dominated
TOB-7: Information dissemination 0.21 100% 0% 312 672 Dominated
TOB-8: Nicotine replacement therapy 1.76 10% 90% 312 5,637 Dominated
TOB-9: Combination (TOB4 + TOB7) 0.31 100% 0% 3,287 94 Dominated
TOB-10: Combination (TOB4 + TOB5 + TOB7) 0.56 100% 0% 3,421 165 Dominated
TOB-11: Combination (TOB4 + TOB6 + TOB7) 0.41 100% 0% 3,529 117 722
TOB-12: Combination (TOB4 + TOB6) 0.20 100% 0% 3,238 63 438
TOB-13: Combination (TOB4 + TOB5 + TOB6) 0.46 100% 0% 3,372 137 Dominated
TOB-14: Combination (TOB4 + TOB5 + TOB6 + TOB7) 0.67 100% 0% 3,662 183 1,929
TOB-15: Combination (ALL) 2.43 36% 64% 3,950 616 6,116
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