Cost effectiveness and strategic planning (WHO-CHOICE)

AMR B: Cost effectiveness results for Childhood Diseases

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.


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
UFV-1: ORT - (@50%) 50% 0.43 591 729 Dominated
UFV-2: ORT - (@80%) 80% 0.70 936 743 Dominated
UFV-3: ORT - (@95%) 95% 0.89 1,117 798 Dominated
UFV-4: Case management - ALRI (@50%) 50% 0.24 434 552 Dominated
UFV-5: Case management - ALRI (@80%) 80% 0.38 649 591 Dominated
UFV-6: Case management - ALRI (@95%) 95% 0.50 825 607 Dominated
UFV-7: Vitamin A suppl.(VAS) - (@50%) 50% 0.07 733 90 Dominated
UFV-8: Vitamin A suppl.(VAS) - (@80%) 80% 0.24 1,172 207 Dominated
UFV-9: Vitamin A suppl.(VAS) - (@95%) 95% 0.40 1,392 287 Dominated
UFV-10: Vit. A Fort. (VAF) - (@50%) 50% 0.02 433 43 Dominated
UFV-11: Vit. A Fort. (VAF) - (@80%) 80% 0.02 694 36 Dominated
UFV-12: Vit. A Fort. (VAF) - (@95%) 95% 0.03 824 34 Dominated
UFV-13: Compl. Feeding (CF) - (@50%) 50% 2.95 133 22,251 Dominated
UFV-14: Compl. Feeding (CF) - (@80%) 80% 4.72 210 22,461 Dominated
UFV-15: Compl. Feeding (CF) - (@95%) 95% 5.62 250 22,507 Dominated
UFV-16: Compl. Feeding with Growth Mon. (CFGM) - (@50%) 50% 0.62 134 4,611 Dominated
UFV-17: Compl. Feeding with Growth Mon. (CFGM) - (@80%) 80% 0.98 210 4,672 Dominated
UFV-18: Compl. Feeding with Growth Mon. (CFGM) - (@95%) 95% 1.17 250 4,689 Dominated
UFV-19: Zinc Suppl. (ZS) - (@50%) 50% 0.05 579 79 Dominated
UFV-20: Zinc Suppl. (ZS) - (@80%) 80% 0.06 926 70 Dominated
UFV-21: Zinc Suppl. (ZS) - (@95%) 95% 0.08 1,100 70 Dominated
UFV-22: Zinc Fort. (ZF) - (@50%) 50% 0.01 433 27 Dominated
UFV-23: Zinc Fort. (ZF) - (@80%) 80% 0.01 694 19 Dominated
UFV-24: Zinc Fort. (ZF) - (@95%) 95% 0.01 824 18 18
UFV-25: ORT & CM (@50%) 50% 0.64 1,026 620 Dominated
UFV-26: ORT & CM (@80%) 80% 1.03 1,592 650 Dominated
UFV-27: ORT & CM (@95%) 95% 1.33 1,949 681 Dominated
UFV-28: Vit A. Fort. & Zinc Fort. (@50%) 50% 0.03 880 34 Dominated
UFV-29: Vit A. Fort. & Zinc Fort. (@80%) 80% 0.04 1,408 29 Dominated
UFV-30: Vit A. Fort. & Zinc Fort. (@95%) 95% 0.05 1,672 28 39
UFV-31: Zinc Fort & CM (@50%) 50% 0.27 777 343 Dominated
UFV-32: Zinc Fort & CM (@80%) 80% 0.42 1,244 338 Dominated
UFV-33: Zinc Fort & CM (@95%) 95% 0.54 1,477 367 Dominated
UFV-34: Vit. A Suppl. & Zinc Suppl. (@50%) 50% 0.18 1,477 119 Dominated
UFV-35: Vit. A Suppl. & Zinc Suppl. (@80%) 80% 0.29 2,322 123 Dominated
UFV-36: Vit. A Suppl. & Zinc Suppl. (@95%) 95% 0.39 2,782 142 312
UFV-37: Zinc Suppl. & Zinc Fort (@50%) 50% 0.08 556 135 Dominated
UFV-38: Zinc Suppl. & Zinc Fort (@80%) 80% 0.11 889 119 Dominated
UFV-39: Zinc Suppl. & Zinc Fort (@95%) 95% 0.14 1,056 130 Dominated
UFV-40: Vit. A Fort., Zinc Fort.& ORT (@50%) 50% 0.46 1,399 325 Dominated
UFV-41: Vit. A Fort., Zinc Fort.& ORT (@80%) 80% 0.73 2,238 325 Dominated
UFV-42: Vit. A Fort., Zinc Fort.& ORT (@95%) 95% 0.93 2,657 349 Dominated
UFV-43: Vit. A Fort., Zinc Fort. & CM (@50%) 50% 0.27 1,255 213 Dominated
UFV-44: Vit. A Fort., Zinc Fort. & CM (@80%) 80% 0.42 1,828 230 Dominated
UFV-45: Vit. A Fort., Zinc Fort. & CM (@95%) 95% 0.54 2,385 227 Dominated
UFV-46: Zinc Fort., ORT & CM (@50%) 50% 0.64 1,365 469 Dominated
UFV-47: Zinc Fort., ORT & CM (@80%) 80% 1.04 2,185 474 Dominated
UFV-48: Zinc Fort., ORT & CM (@95%) 95% 1.79 2,594 688 Dominated
UFV-49: Zinc Suppl., ORT & CM (@50%) 50% 0.67 1,581 425 Dominated
UFV-50: Zinc Suppl., ORT & CM (@80%) 80% 1.09 2,530 431 Dominated
UFV-51: Zinc Suppl., ORT & CM (@95%) 95% 1.40 3,005 466 Dominated
UFV-52: Vit. A Suppl., Zinc Suppl., & CM (@50%) 50% 0.39 2,118 183 Dominated
UFV-53: Vit. A Suppl., Zinc Suppl., & CM (@80%) 80% 0.63 2,876 220 Dominated
UFV-54: Vit. A Suppl., Zinc Suppl., & CM (@95%) 95% 0.84 3,415 247 710
UFV-55: Vit. A Suppl., Zinc Suppl., & ORT (@50%) 50% 0.58 1,940 299 Dominated
UFV-56: Vit. A Suppl., Zinc Suppl., & ORT (@80%) 80% 0.94 3,104 304 Dominated
UFV-57: Vit. A Suppl., Zinc Suppl., & ORT (@95%) 95% 1.23 3,686 335 Dominated
UFV-58: Vit. A Suppl., Zinc Suppl., ORT & CM (@50%) 50% 0.78 2,443 320 Dominated
UFV-59: Vit. A Suppl., Zinc Suppl., ORT & CM (@80%) 80% 1.28 3,833 334 1,042
UFV-60: Vit. A Suppl., Zinc Suppl., ORT & CM (@95%) 95% 2.12 4,551 466 1,176
UFV-61: Vit. A Fort., Zinc Fort., ORT & CM (@50%) 50% 0.66 1,850 356 Dominated
UFV-62: Vit. A Fort., Zinc Fort., ORT & CM (@80%) 80% 1.06 2,867 370 Dominated
UFV-63: Vit. A Fort., Zinc Fort., ORT & CM (@95%) 95% 1.36 3,514 386 Dominated
UFV-64: Vit. A Suppl., Vit. A Fort., Zinc Suppl., & Zinc Fort. (@50%) 50% 0.21 1,104 187 Dominated
UFV-65: Vit. A Suppl., Vit. A Fort., Zinc Suppl., & Zinc Fort. (@80%) 80% 0.33 1,767 185 Dominated
UFV-66: Vit. A Suppl., Vit. A Fort., Zinc Suppl., & Zinc Fort. (@95%) 95% 0.44 2,098 210 Dominated
UFV-67: Vit. A Suppl., Zinc Suppl., CFGM, ORT & CM (@50%) 50% 1.31 2,546 514 Dominated
UFV-68: Vit. A Suppl., Zinc Suppl., CFGM, ORT & CM (@80%) 80% 2.12 3,992 531 Dominated
UFV-69: Vit. A Suppl., Zinc Suppl., CFGM, ORT & CM (@95%) 95% 2.67 4,837 553 1,925
UFV-70: Vit. A Fort, Zinc Fort., CFGM, ORT & CM (@50%) 50% 1.18 1,987 592 Dominated
UFV-71: Vit. A Fort, Zinc Fort., CFGM, ORT & CM (@80%) 80% 1.89 2,861 661 Dominated
UFV-72: Vit. A Fort, Zinc Fort., CFGM, ORT & CM (@95%) 95% 2.81 3,775 744 Dominated
UFV-73: Vit. A Suppl., Vit. A Fort., Zinc Suppl., Zinc Fort. & CM (@50%) 50% 0.42 1,477 283 Dominated
UFV-74: Vit. A Suppl., Vit. A Fort., Zinc Suppl., Zinc Fort. & CM (@80%) 80% 0.67 2,363 285 Dominated
UFV-75: Vit. A Suppl., Vit. A Fort., Zinc Suppl., Zinc Fort. & CM (@95%) 95% 0.89 2,806 318 Dominated
UFV-76: Vit. A Suppl., Vit. A Fort., Zinc Suppl., Zinc Fort., ORT & CM (@50%) 50% 0.81 2,071 392 Dominated
UFV-77: Vit. A Suppl., Vit. A Fort., Zinc Suppl., Zinc Fort., ORT & CM (@80%) 80% 1.32 3,314 398 Dominated
UFV-78: Vit. A Suppl., Vit. A Fort., Zinc Suppl., Zinc Fort., ORT & CM (@95%) 95% 2.17 3,935 552 Dominated
UFV-79: Vit. A Suppl., Vit. A Fort., Zinc Suppl., Zinc Fort., CFGM, ORT & CM (@50%) 50% 1.33 2,210 602 Dominated
UFV-80: Vit. A Suppl., Vit. A Fort., Zinc Suppl., Zinc Fort., CFGM, ORT & CM (@80%) 80% 2.15 3,535 607 Dominated
UFV-81: Vit. A Suppl., Vit. A Fort., Zinc Suppl., Zinc Fort., CFGM, ORT & CM (@95%) 95% 3.16 4,198 753 Dominated
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