Cost-Effective Interventions

Interventions are actions taken by or for individuals to reduce the risk, duration, or severity of adverse health conditions. Interventions may be population-based or personal.

DCP2 and GBD present what we know about which health interventions work for a comprehensive range of diseases, injuries, and disabilities in many different contexts. A large share of the disease burden in low- and middle-income countries is attributable to diseases and conditions for which cost-effective interventions are already known and feasible. Selecting the right intervention for a given disease and context matters a great deal. The tools on this page are designed to aid the task.

DCP2 and GBD demonstrate how decision makers could use cost-effectiveness information in combination with information on disease prevalence and avertable illness to determine which interventions should be extended and which ones should be questioned. If developing countries scale up interventions and extend health care services that are cost-effective, the impact on the disease burden could be substantial.

Select Criteria

Disease / Condition Setting Type Objective Target population

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Condition Intervention Intervention type Intervention description Intervention setting Objective Target population Cost effectiveness (US$/DALY) Cost effectiveness estimate (US$) Cost effectiveness range (US$/DALY) Number of DALYs averted (hundreds) Number of deaths averted (hundreds) Quality of cost-effectiveness analysis evidence
Primary care ailments Limited care Personal Includes treatment of infection and minor trauma; for more complicated condition, includes diagnosis, advice and pain relief, and treatment as resources permit Clinic cure All ages, Adults, Infants or children, Women of childbearing age, Pregnant women, Adolescents and adults, Mothers and infants - 253-380 per DALY (Low income countries); 507-760 per DALY (Middle income countries) - - - 1
Emergency medical care Staffed community ambulance Population Introduction or promotion of training programs for emergency responders and ambulance drivers in urban or rural settings for countries that lack ambulances and training programs Policy level instrument of policy All ages, Adults, Infants or children, Women of childbearing age, Pregnant women, Adolescents and adults, Mothers and infants 120 - 60-179 34.84 140 5
Emergency medical care Training volunteer paramedics with lay first responders Population Identification and training of community member first responders and paramedics to act in health emergencies, recognize lifeor limb-threatening situations, transport patients, and provide basic first aid Policy level instrument of policy All ages, Adults, Infants or children, Women of childbearing age, Pregnant women, Adolescents and adults, Mothers and infants 6 - -- 18.42 74 5

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