2. Intervention Cost–Effectiveness: Overview of Main Messages

Table 2.C.2: Cost Effectiveness of Other Population-based Interventions

Cost Effectiveness of Other Population-based Interventions
ConditionInterventionIntervention descriptionIntervention settingObjectiveTarget populationCost-effectiveness estimate (US$)aQuality of CEA evidenceb
AsthmaEducationEducation in addition to exercise programClinicPersonal behavior changeAdults71,500/QALY (High-income countries)1
Colorectal cancerFecal occult blood testFecal occult blood test to check stool samples for traces of blood; conducted annually or bienniallyDistrict hospitalSecondary preventionAdults3,200-12,100 per YLS (High-income countries)2
DiarrheaImproved quality of careEducational interventions to improve quality of care and encourage oral rehydration therapy in hospitals; varies with marginal improvement; low to average prevalenceClinic/district hospitalInstrument of policyAll ages14-6000a per death averted4
DiabetesLifestyle intervention (type 2 prevention)Behavioral change for weight reduction by means of a combination of a low-calorie diet and moderate physical activityClinicPersonal behavior changeAdults80 per QALY (EAP); 100 per QALY (ECA); 130 per QALY (LAC); 110 per QALY (MNA); 60 per QALY (SAR); 60 per QALY (SSA)5
DiabetesInfluenza and pneumococcal vaccinationsInfluenza and pneumococcal vaccinations for elderly individuals with type 2 diabetesClinicPopulation-oriented medical interventionElderly220 per QALY (EAP); 290 per QALY (ECA); 360 per QALY (LAC); 310 per QALY (MNA); 180 per QALY (SAR); 160 per QALY (SSA)5
DiabetesScreeningScreening of individuals at increased risk for undiagnosed diabetesClinic, district hospitalPopulation-oriented medical interventionAdults over 255,140 per QALY (EAP); 6,910 per QALY (ECA); 8,550 per QALY (LAC); 7,260 per QALY (MNA); 4,280 per QALY (SAR); 3,870 per QALY (SSA)5
DiabetesAnnual screening for microalbuminuriaScreening for microalbuminuria and treating those who test positiveClinic, district hospitalPopulation-oriented medical interventionAdults3,310 per QALY (EAP); 4,450 per QALY (ECA); 5,510 per QALY (LAC); 4,680 per QALY (MNA); 2,760 per QALY (SAR); 2,500 per QALY (SSA)5
Indoor air pollution-related illnessLiquefied petroleum gasSubstitution of wood, dung, and crop residues with liquefied petroleum gas for cooking and heatingPolicy levelInstrument of policyAll ages103-1746 per healthy year (EAP); 1258-1361 per healthy year (ECA); 806-1447 per healthy year (LAC); 779-785 per healthy year (MNA); 321-558 per healthy year (SA); 534-736 per healthy year (SSA)5
Indoor air pollution-related illnessKeroseneSubstitution of wood, dung, and crop residues with kerosene for cooking and heatingPolicy levelInstrument of policyAll ages12-232 per healthy year (EAP); 172-188 per healthy year (ECA); 109-650 per healthy year (LAC); 98 per healthy year (MNA): 37-65 per healthy year (SAR); 62-87 per healthy year (SSA)5
Indoor air pollution-related illnessImproved stoveReplacement of traditional open stoves with enclosed stoves that are more efficient and/or have flues for ventilationPolicy levelInstrument of policyAll ages306-605 per healthy year (EAP); 975-1134 per healthy year (LAC); 379-471 per healthy year (MNA): 13-15 per healthy year (SAR); 21-26 per healthy year (SSA)5
Indoor air pollution-related illnessImproved stove with kerosene or LPGReplacement of traditional open stoves with enclosed stoves that use kerosene or LPGPolicy levelInstrument of policyAll ages26-85 per healthy year (EAP); 522-1416 per healthy year (ECA); 305-784 per healthy year (LAC); 227-624 per healthy year (MNA): 27-182 per healthy year (SAR); 46-304 per healthy year (SSA)5
Lung cancerEarly detection screeningScreening of high-risk individuals, such as current and former smokers, for lung cancer using helical computed tomographyDistrict hospitalPopulation-oriented medical interventionAdults20,000-100,000 per YLS (USA)3
PneumoniaImproved quality of careImproved quality of care, including education for health providers and treatment of non-severe and severe pneumonia; varies with marginal improvement; low to average prevalenceClinic/district hospitalInstrument of policyChildren132-5,000a per death averted4
Pollution-related illnessControl of toxins related to energy industryInterventions include coal-fired power plant emissions controls, gasoline lead reduction, and desulphuring residual fuel oilPolicy levelInstrument of policyAll agesless than 0 per LYS (USA)1
Pollution-related illnessControl of toxins related to agriculture and forestryInterventions include targeted pesticide bans and emissions standards at processing facilitiesPolicy levelInstrument of policyAll agesless than 0 per LYS (USA)1
Pollution-related illnessControl of toxins related to residential sectorInterventions include radon remediation and sedimentation, filtration, and chlorination of drinking waterPolicy levelInstrument of policyAll ages5320-7730 per LYS (USA)1
Pollution-related illnessControl of toxins related to industrial sectorInterventions include arsenic emissions standards at copper smelters and asbestos ban for brake liningsPolicy levelInstrument of policyAll agesless than 45,600 per LYS (USA)
SilicosisEngineering controlWet method e.g. spraying a surface or wetting a blade to reduce dust; local exhaust ventilation; total plant ventilationPolicy levelControl of environmental hazardsWorking adults105a per DALY (USA and Canada); 109a per DALY (Western Pacific)3
SilicosisComfort or dust maskComfort or dust mask with associated trainingPolicy levelInstrument of policyWorking adults111-191a per DALY (USA and Canada); 117-174a (Western Pacific)3
SilicosisRespiratorHalf-face or full-face respirator and associated trainingPolicy levelInstrument of policyWorking adults300-305a per DALY (USA and Canada); 266-274a per DALY (Western Pacific)3

Source: Authors.

a. Currency units in US$, but not necessarily 2001.

b. See table 2.1