Cost effectiveness and strategic planning (WHO-CHOICE)

AMR D: 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% 0.45 1,951 232 Dominated
UFV-2: ORT - (@80%) 80% 0.78 3,121 249 Dominated
UFV-3: ORT - (@95%) 95% 1.07 3,706 289 Dominated
UFV-4: Case management - ALRI (@50%) 50% 0.21 1,519 137 Dominated
UFV-5: Case management - ALRI (@80%) 80% 0.37 2,430 151 Dominated
UFV-6: Case management - ALRI (@95%) 95% 0.54 2,886 188 Dominated
UFV-7: Vitamin A suppl.(VAS) - (@50%) 50% 0.08 388 209 Dominated
UFV-8: Vitamin A suppl.(VAS) - (@80%) 80% 0.24 620 393 Dominated
UFV-9: Vitamin A suppl.(VAS) - (@95%) 95% 0.50 737 675 Dominated
UFV-10: Vit. A Fort. (VAF) - (@50%) 50% 0.03 185 169 Dominated
UFV-11: Vit. A Fort. (VAF) - (@80%) 80% 0.05 295 157 Dominated
UFV-12: Vit. A Fort. (VAF) - (@95%) 95% 0.05 351 155 Dominated
UFV-13: Compl. Feeding (CF) - (@50%) 50% 3.75 169 22,177 Dominated
UFV-14: Compl. Feeding (CF) - (@80%) 80% 6.02 270 22,295 Dominated
UFV-15: Compl. Feeding (CF) - (@95%) 95% 7.21 321 22,473 Dominated
UFV-16: Compl. Feeding with Growth Mon. (CFGM) - (@50%) 50% 1.24 169 7,315 Dominated
UFV-17: Compl. Feeding with Growth Mon. (CFGM) - (@80%) 80% 2.00 270 7,413 Dominated
UFV-18: Compl. Feeding with Growth Mon. (CFGM) - (@95%) 95% 2.45 321 7,628 Dominated
UFV-19: Zinc Suppl. (ZS) - (@50%) 50% 0.06 1,328 43 Dominated
UFV-20: Zinc Suppl. (ZS) - (@80%) 80% 0.08 2,125 40 Dominated
UFV-21: Zinc Suppl. (ZS) - (@95%) 95% 0.10 2,524 41 57
UFV-22: Zinc Fort. (ZF) - (@50%) 50% 0.02 637 28 Dominated
UFV-23: Zinc Fort. (ZF) - (@80%) 80% 0.02 1,019 24 Dominated
UFV-24: Zinc Fort. (ZF) - (@95%) 95% 0.03 1,210 24 24
UFV-25: ORT & CM (@50%) 50% 0.64 3,694 173 Dominated
UFV-26: ORT & CM (@80%) 80% 1.11 5,910 188 Dominated
UFV-27: ORT & CM (@95%) 95% 1.55 7,018 221 Dominated
UFV-28: Vit A. Fort. & Zinc Fort. (@50%) 50% 0.05 868 60 Dominated
UFV-29: Vit A. Fort. & Zinc Fort. (@80%) 80% 0.08 1,388 57 Dominated
UFV-30: Vit A. Fort. & Zinc Fort. (@95%) 95% 0.09 1,648 57 Dominated
UFV-31: Zinc Fort & CM (@50%) 50% 0.26 2,174 119 Dominated
UFV-32: Zinc Fort & CM (@80%) 80% 0.44 3,479 127 Dominated
UFV-33: Zinc Fort & CM (@95%) 95% 0.63 4,131 152 Dominated
UFV-34: Vit. A Suppl. & Zinc Suppl. (@50%) 50% 0.18 1,847 99 Dominated
UFV-35: Vit. A Suppl. & Zinc Suppl. (@80%) 80% 0.34 2,955 114 Dominated
UFV-36: Vit. A Suppl. & Zinc Suppl. (@95%) 95% 0.53 3,509 151 Dominated
UFV-37: Zinc Suppl. & Zinc Fort (@50%) 50% 0.08 1,099 72 Dominated
UFV-38: Zinc Suppl. & Zinc Fort (@80%) 80% 0.13 1,759 73 Dominated
UFV-39: Zinc Suppl. & Zinc Fort (@95%) 95% 0.18 2,089 86 Dominated
UFV-40: Vit. A Fort., Zinc Fort.& ORT (@50%) 50% 0.50 2,783 180 Dominated
UFV-41: Vit. A Fort., Zinc Fort.& ORT (@80%) 80% 0.85 4,453 190 Dominated
UFV-42: Vit. A Fort., Zinc Fort.& ORT (@95%) 95% 1.16 5,289 219 Dominated
UFV-43: Vit. A Fort., Zinc Fort. & CM (@50%) 50% 0.26 2,394 108 Dominated
UFV-44: Vit. A Fort., Zinc Fort. & CM (@80%) 80% 0.44 3,830 116 Dominated
UFV-45: Vit. A Fort., Zinc Fort. & CM (@95%) 95% 0.63 4,549 138 Dominated
UFV-46: Zinc Fort., ORT & CM (@50%) 50% 0.65 4,153 157 Dominated
UFV-47: Zinc Fort., ORT & CM (@80%) 80% 1.12 6,645 169 Dominated
UFV-48: Zinc Fort., ORT & CM (@95%) 95% 1.94 7,891 246 Dominated
UFV-49: Zinc Suppl., ORT & CM (@50%) 50% 0.68 4,840 141 Dominated
UFV-50: Zinc Suppl., ORT & CM (@80%) 80% 1.18 7,743 153 211
UFV-51: Zinc Suppl., ORT & CM (@95%) 95% 1.65 9,195 179 388
UFV-52: Vit. A Suppl., Zinc Suppl., & CM (@50%) 50% 0.38 3,344 112 Dominated
UFV-53: Vit. A Suppl., Zinc Suppl., & CM (@80%) 80% 0.68 5,351 127 203
UFV-54: Vit. A Suppl., Zinc Suppl., & CM (@95%) 95% 1.02 6,354 160 Dominated
UFV-55: Vit. A Suppl., Zinc Suppl., & ORT (@50%) 50% 0.62 3,721 166 Dominated
UFV-56: Vit. A Suppl., Zinc Suppl., & ORT (@80%) 80% 1.09 5,953 182 Dominated
UFV-57: Vit. A Suppl., Zinc Suppl., & ORT (@95%) 95% 1.55 7,069 219 Dominated
UFV-58: Vit. A Suppl., Zinc Suppl., ORT & CM (@50%) 50% 0.80 5,370 150 Dominated
UFV-59: Vit. A Suppl., Zinc Suppl., ORT & CM (@80%) 80% 1.41 8,592 165 273
UFV-60: Vit. A Suppl., Zinc Suppl., ORT & CM (@95%) 95% 2.40 10,203 235 747
UFV-61: Vit. A Fort., Zinc Fort., ORT & CM (@50%) 50% 0.69 4,393 156 Dominated
UFV-62: Vit. A Fort., Zinc Fort., ORT & CM (@80%) 80% 1.18 7,029 167 Dominated
UFV-63: Vit. A Fort., Zinc Fort., ORT & CM (@95%) 95% 1.63 8,347 195 Dominated
UFV-64: Vit. A Suppl., Vit. A Fort., Zinc Suppl., & Zinc Fort. (@50%) 50% 0.24 1,353 174 Dominated
UFV-65: Vit. A Suppl., Vit. A Fort., Zinc Suppl., & Zinc Fort. (@80%) 80% 0.42 2,164 193 Dominated
UFV-66: Vit. A Suppl., Vit. A Fort., Zinc Suppl., & Zinc Fort. (@95%) 95% 0.62 2,570 243 Dominated
UFV-67: Vit. A Suppl., Zinc Suppl., CFGM, ORT & CM (@50%) 50% 1.97 5,572 354 Dominated
UFV-68: Vit. A Suppl., Zinc Suppl., CFGM, ORT & CM (@80%) 80% 3.29 8,916 369 Dominated
UFV-69: Vit. A Suppl., Zinc Suppl., CFGM, ORT & CM (@95%) 95% 4.28 10,588 404 4,874
UFV-70: Vit. A Fort, Zinc Fort., CFGM, ORT & CM (@50%) 50% 1.85 4,568 404 Dominated
UFV-71: Vit. A Fort, Zinc Fort., CFGM, ORT & CM (@80%) 80% 3.04 7,309 416 Dominated
UFV-72: Vit. A Fort, Zinc Fort., CFGM, ORT & CM (@95%) 95% 4.24 8,679 489 Dominated
UFV-73: Vit. A Suppl., Vit. A Fort., Zinc Suppl., Zinc Fort. & CM (@50%) 50% 0.43 2,877 149 Dominated
UFV-74: Vit. A Suppl., Vit. A Fort., Zinc Suppl., Zinc Fort. & CM (@80%) 80% 0.76 4,604 164 Dominated
UFV-75: Vit. A Suppl., Vit. A Fort., Zinc Suppl., Zinc Fort. & CM (@95%) 95% 1.11 5,467 204 Dominated
UFV-76: Vit. A Suppl., Vit. A Fort., Zinc Suppl., Zinc Fort., ORT & CM (@50%) 50% 0.86 4,879 176 Dominated
UFV-77: Vit. A Suppl., Vit. A Fort., Zinc Suppl., Zinc Fort., ORT & CM (@80%) 80% 1.49 7,806 191 Dominated
UFV-78: Vit. A Suppl., Vit. A Fort., Zinc Suppl., Zinc Fort., ORT & CM (@95%) 95% 2.49 9,270 269 Dominated
UFV-79: Vit. A Suppl., Vit. A Fort., Zinc Suppl., Zinc Fort., CFGM, ORT & CM (@50%) 50% 2.02 5,056 399 Dominated
UFV-80: Vit. A Suppl., Vit. A Fort., Zinc Suppl., Zinc Fort., CFGM, ORT & CM (@80%) 80% 3.36 8,089 415 Dominated
UFV-81: Vit. A Suppl., Vit. A Fort., Zinc Suppl., Zinc Fort., CFGM, ORT & CM (@95%) 95% 4.73 9,606 492 Dominated
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