IDEAS home Printed from https://ideas.repec.org/a/wly/hlthec/v13y2004i11p1117-1124.html
   My bibliography  Save this article

Accounting for the cost of scaling‐up health interventions

Author

Listed:
  • Benjamin Johns
  • Rob Baltussen

Abstract

Recent studies such as the Commission on Macroeconomics and Health have highlighted the need for expanding the coverage of services for HIV/AIDS, malaria, tuberculosis, immunisations and other diseases. In order for policy makers to plan for these changes, they need to analyse the change in costs when interventions are ‘scaled‐up’ to cover greater percentages of the population. Previous studies suggest that applying current unit costs to an entire population can misconstrue the true costs of an intervention. This study presents the methodology used in WHO‐CHOICE's generalised cost effectiveness analysis, which includes non‐linear cost functions for health centres, transportation and supervision costs, as well as the presence of fixed costs of establishing a health infrastructure. Results show changing marginal costs as predicted by economic theory. Copyright © 2004 John Wiley & Sons, Ltd.

Suggested Citation

  • Benjamin Johns & Rob Baltussen, 2004. "Accounting for the cost of scaling‐up health interventions," Health Economics, John Wiley & Sons, Ltd., vol. 13(11), pages 1117-1124, November.
    • Handle: RePEc:wly:hlthec:v:13:y:2004:i:11:p:1117-1124
    DOI: 10.1002/hec.880
    as

    Download full text from publisher

    File URL: https://doi.org/10.1002/hec.880
    Download Restriction: no
    File URL: https://libkey.io/10.1002/hec.880?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    References listed on IDEAS

    as
    1. Dinwiddy,Caroline L. & Teal,Francis J., 1996. "Principles of Cost-Benefit Analysis for Developing Countries," Cambridge Books, Cambridge University Press, number 9780521473583.
    2. Brenzel, Logan & Claquin, Pierre, 1994. "Immunization programs and their costs," Social Science & Medicine, Elsevier, vol. 39(4), pages 527-536, August.
    3. World Bank, 2000. "World Development Indicators 2000," World Bank Publications - Books, The World Bank Group, number 13828, December.
    4. Stock, Robert, 1983. "Distance and the utilization of health facilities in rural Nigeria," Social Science & Medicine, Elsevier, vol. 17(9), pages 563-570, January.
    5. Limao, Nuno & Venables, Anthony J., 1999. "Infrastructure, geographical disadvantage, and transport costs," Policy Research Working Paper Series 2257, The World Bank.
    6. Perry, Baker & Gesler, Wil, 2000. "Physical access to primary health care in Andean Bolivia," Social Science & Medicine, Elsevier, vol. 50(9), pages 1177-1188, May.
    7. Over, Mead, 1986. "The effect of scale on cost projections for a primary health care program in a developing country," Social Science & Medicine, Elsevier, vol. 22(3), pages 351-360, January.
    8. Fiedler, John L. & Dado, Dyezebel R. & Maglalang, Hector & Juban, Noel & Capistrano, Melgabal & Magpantay, Maria Vicenta, 2000. "Cost analysis as a vitamin A program design and evaluation tool: a case study of the Philippines," Social Science & Medicine, Elsevier, vol. 51(2), pages 223-242, July.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Afriandi, Irvan & Siregar, Adiatma Y.M. & Meheus, Filip & Hidayat, Teddy & van der Ven, Andre & van Crevel, Reinout & Baltussen, Rob, 2010. "Costs of hospital-based methadone maintenance treatment in HIV/AIDS control among injecting drug users in Indonesia," Health Policy, Elsevier, vol. 95(1), pages 69-73, April.
    2. Yoko Ibuka & A. David Paltiel & Alison P. Galvani, 2012. "Impact of Program Scale and Indirect Effects on the Cost-Effectiveness of Vaccination Programs," Medical Decision Making, , vol. 32(3), pages 442-446, May.
    3. Pankaj Bahuguna & Lorna Guinness & Sameer Sharma & Akashdeep Singh Chauhan & Laura Downey & Shankar Prinja, 2020. "Estimating the Unit Costs of Healthcare Service Delivery in India: Addressing Information Gaps for Price Setting and Health Technology Assessment," Applied Health Economics and Health Policy, Springer, vol. 18(5), pages 699-711, October.
    4. Johns, Benjamin & Steinhardt, Laura & Walker, Damian G. & Peters, David H. & Bishai, David, 2013. "Horizontal equity and efficiency at primary health care facilities in rural Afghanistan: A seemingly unrelated regression approach," Social Science & Medicine, Elsevier, vol. 89(C), pages 25-31.
    5. Brooke E Nichols & Charles A B Boucher & Janneke H van Dijk & Phil E Thuma & Jan L Nouwen & Rob Baltussen & Janneke van de Wijgert & Peter M A Sloot & David A M C van de Vijver, 2013. "Cost-Effectiveness of Pre-Exposure Prophylaxis (PrEP) in Preventing HIV-1 Infections in Rural Zambia: A Modeling Study," PLOS ONE, Public Library of Science, vol. 8(3), pages 1-10, March.
    6. Kristine Husøy Onarheim & Solomon Tessema & Kjell Arne Johansson & Kristiane Tislevoll Eide & Ole Frithjof Norheim & Ingrid Miljeteig, 2012. "Prioritizing Child Health Interventions in Ethiopia: Modeling Impact on Child Mortality, Life Expectancy and Inequality in Age at Death," PLOS ONE, Public Library of Science, vol. 7(8), pages 1-9, August.
    7. Natasha K Martin & Ashley B Pitcher & Peter Vickerman & Anna Vassall & Matthew Hickman, 2011. "Optimal Control of Hepatitis C Antiviral Treatment Programme Delivery for Prevention amongst a Population of Injecting Drug Users," PLOS ONE, Public Library of Science, vol. 6(8), pages 1-17, August.
    8. Matteo Ruggeri & Chiara Cadeddu & Paolo Roazzi & Donatella Mandolini & Mauro Grigioni & Marco Marchetti, 2020. "Multi–Criteria–Decision–Analysis (MCDA) for the Horizon Scanning of Health Innovations an Application to COVID 19 Emergency," IJERPH, MDPI, vol. 17(21), pages 1-9, October.
    9. Naira Matevosyan, 2015. "The Overuse of Cesarean Section: Medical, Legal, Research, and Economical Pitfalls," Journal of the Knowledge Economy, Springer;Portland International Center for Management of Engineering and Technology (PICMET), vol. 6(4), pages 1090-1103, December.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Johns, Benjamin & Steinhardt, Laura & Walker, Damian G. & Peters, David H. & Bishai, David, 2013. "Horizontal equity and efficiency at primary health care facilities in rural Afghanistan: A seemingly unrelated regression approach," Social Science & Medicine, Elsevier, vol. 89(C), pages 25-31.
    2. Murawski, Lisa & Church, Richard L., 2009. "Improving accessibility to rural health services: The maximal covering network improvement problem," Socio-Economic Planning Sciences, Elsevier, vol. 43(2), pages 102-110, June.
    3. Tanser, Frank & Gijsbertsen, Brice & Herbst, Kobus, 2006. "Modelling and understanding primary health care accessibility and utilization in rural South Africa: An exploration using a geographical information system," Social Science & Medicine, Elsevier, vol. 63(3), pages 691-705, August.
    4. Yao, Jing & Murray, Alan T. & Agadjanian, Victor, 2013. "A geographical perspective on access to sexual and reproductive health care for women in rural Africa," Social Science & Medicine, Elsevier, vol. 96(C), pages 60-68.
    5. repec:ilo:ilowps:366690 is not listed on IDEAS
    6. Janvier D. Nkurunziza, 2005. "Reputation and Credit without Collateral in Africa`s Formal Banking," Economics Series Working Papers WPS/2005-02, University of Oxford, Department of Economics.
    7. Glenn P. Jenkins & Chun-Yan kuo & Arnold C. Harberger, 2020. "Analyse Couts-Avantages Pour Les Decisions D’Investissement Chapitre 9; Le Prix Ombre Des Bourses D'échange Et De Marchandises Non Commercialisables," Development Discussion Papers 2020-09, JDI Executive Programs.
    8. Stephen J. Redding, 2010. "The Empirics Of New Economic Geography," Journal of Regional Science, Wiley Blackwell, vol. 50(1), pages 297-311, February.
    9. Garth Frazer & Johannes Van Biesebroeck, 2010. "Trade Growth under the African Growth and Opportunity Act," The Review of Economics and Statistics, MIT Press, vol. 92(1), pages 128-144, February.
    10. Elif Bascavusoglu & Maria Pluvia Zuniga, 2005. "The effects of intellectual property protection on international knowledge contracting," Cahiers de la Maison des Sciences Economiques bla05009, Université Panthéon-Sorbonne (Paris 1).
    11. Santiago Herrera & Gaobo Pang, 2008. "Eficiency of Infrastructure: The Case of Container Ports," Economia, ANPEC - Associação Nacional dos Centros de Pós-Graduação em Economia [Brazilian Association of Graduate Programs in Economics], vol. 9(1), pages 165-194.
    12. Gylfason, Thorvaldur, 2001. "Natural resources, education, and economic development," European Economic Review, Elsevier, vol. 45(4-6), pages 847-859, May.
    13. Lindelow, Magnus, 2002. "Health care demand in rural Mozambique," FCND discussion papers 126, International Food Policy Research Institute (IFPRI).
    14. Martin, Will, 2021. "Tools for measuring the full impacts of agricultural interventions," IFPRI-MCC technical papers 2, International Food Policy Research Institute (IFPRI).
    15. Anindita Datta, 2003. "Articulation of an Integrated Women's Health Policy Using the Life Cycle Approach," Indian Journal of Gender Studies, Centre for Women's Development Studies, vol. 10(1), pages 25-43, March.
    16. Dorward, Andrew & Kydd, Jonathan & Poulton, Colin, 2004. "Market and Coordination Failures in Poor Rural Economies: Policy Implications for Agricultural and Rural Development," 2004 Inaugural Symposium, December 6-8, 2004, Nairobi, Kenya 9535, African Association of Agricultural Economists (AAAE).
    17. Benjamin Liebman, 2004. "ITC voting behavior on sunset reviews," Review of World Economics (Weltwirtschaftliches Archiv), Springer;Institut für Weltwirtschaft (Kiel Institute for the World Economy), vol. 140(3), pages 446-475, September.
    18. Santiago-Rodriguez, Fernando, 2008. "Facing the Trial of Internationalizing Clinical Trials to Developing Countries: Some Evidence from Mexico," MERIT Working Papers 2008-023, United Nations University - Maastricht Economic and Social Research Institute on Innovation and Technology (MERIT).
    19. Dennis Gaus & Georg Hirte, 2023. "Agglomeration or Market Access? The Defining Factors of Firms' Location Choice," Discussion Papers of DIW Berlin 2045, DIW Berlin, German Institute for Economic Research.
    20. Gulati, Namrata & Ray, Tridip, 2016. "Inequality, neighbourhoods and welfare of the poor," Journal of Development Economics, Elsevier, vol. 122(C), pages 214-228.
    21. Toru Kikuchi, 2008. "Distribution Costs, International Trade and Industrial Location," Economics Bulletin, AccessEcon, vol. 6(24), pages 1-5.

    More about this item

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:wly:hlthec:v:13:y:2004:i:11:p:1117-1124. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Wiley Content Delivery (email available below). General contact details of provider: http://www3.interscience.wiley.com/cgi-bin/jhome/5749 .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.