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    Jan 27, 2021
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    Cost-Effectiveness Analysis of Humanitarian Relief Interventions: Visceral Leishmaniasis Treatment in the Sudan.

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    Authors
    Griekspoor, A
    Sondorp, H
    Vos, T
    Affiliation
    Médecins Sans Frontières, Amsterdam, The Netherlands.
    Issue Date
    1999-03
    
    Metadata
    Show full item record
    Journal
    Health Policy and Planning
    Abstract
    Spending by aid agencies on emergencies has quadrupled over the last decade, to over US$6 billion. To date, cost-effectiveness has seldom been considered in the prioritization and evaluation of emergency interventions. The sheer volume of resources spent on humanitarian aid and the chronicity of many humanitarian interventions call for more attention to be paid to the issue of 'value for money'. In this paper we present data from a major humanitarian crisis, an epidemic of visceral leishmaniasis (VL) in war-torn Sudan. The special circumstances provided us, in retrospect, with unusually accurate data on excess mortality, costs of the intervention and its effects, thus allowing us to express cost-effectiveness as the cost per Disability Adjusted Life Year (DALY) averted. The cost-effectiveness ratio, of US$18.40 per DALY (uncertainty range between US$13.53 and US$27.63), places the treatment of VL in Sudan among health interventions considered 'very good value for money' (interventions of less than US$25 per DALY). We discuss the usefulness of this analysis to the internal management of the VL programme, the procurement of funds for the programme, and more generally, to priority setting in humanitarian relief interventions. We feel that in evaluations of emergency interventions attempts could be made more often to perform cost-effectiveness analyses, including the use of DALYs, provided that the outcomes of these analyses are seen in the broad context of the emergency situation and its consequences on the affected population. This paper provides a first contribution to what is hoped to become an international database of cost-effectiveness studies of health interventions during relief operations, which use a comparable measure of health outcome such as the DALY.
    Publisher
    Published by Oxford University Press
    URI
    http://hdl.handle.net/10144/17266
    PubMed ID
    10351471
    Additional Links
    http://heapol.oxfordjournals.org/cgi/reprint/14/1/70?ijkey=pgr/use0b0OTg&keytype=ref&siteid=heapol
    Language
    en
    Description
    To access this article, click on "Additional Links"
    ISSN
    0268-1080
    Collections
    Leishmaniasis/Kala Azar

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