Cost effectiveness and strategic planning (WHO-CHOICE)

EMR B: 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.

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) 0.14 301 459 Dominated
TOB-3: Excise tax on tobacco products: 300% of supply price (highest regional rate) 0.14 632 219 Dominated
TOB-4: Excise tax on tobacco products: 600% of supply price (double the highest regional rate) 0.14 838 165 165
TOB-5: Clean indoor air law enforcement 0.50 75 6,752 Dominated
TOB-6: Comprehensive ban on tobacco advertising 0.21 106 1,990 Dominated
TOB-7: Information dissemination 0.40 121 3,272 Dominated
TOB-8: Nicotine replacement therapy 0.75 121 6,231 Dominated
TOB-9: Combination (TOB4 + TOB7) 0.53 918 581 Dominated
TOB-10: Combination (TOB4 + TOB5 + TOB7) 1.04 957 1,084 Dominated
TOB-11: Combination (TOB4 + TOB6 + TOB7) 0.74 983 756 5,015
TOB-12: Combination (TOB4 + TOB6) 0.35 904 385 3,152
TOB-13: Combination (TOB4 + TOB5 + TOB6) 0.85 944 902 Dominated
TOB-14: Combination (TOB4 + TOB5 + TOB6 + TOB7) 1.25 1,022 1,220 Dominated
TOB-15: Combination (ALL) 2.00 1,099 1,820 9,773