## Abstract This analysis of constraints to scalingβup healthβrelated interventions in Chad shows that emphasis has to be put on systemic approaches which address absorptive capacity, on removal of structural constraints, and on efficient and equitable production of health services. In the producti
Accounting for the cost of scaling-up health interventions
β Scribed by Benjamin Johns; Rob Baltussen
- Publisher
- John Wiley and Sons
- Year
- 2004
- Tongue
- English
- Weight
- 134 KB
- Volume
- 13
- Category
- Article
- ISSN
- 1057-9230
- DOI
- 10.1002/hec.880
No coin nor oath required. For personal study only.
β¦ Synopsis
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 βscaledβupβ 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 WHOβCHOICE's generalised cost effectiveness analysis, which includes nonβlinear 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 Β© 2004 John Wiley & Sons, Ltd.
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