Strengthening Health Systems: Perspectives for economic evaluation
Till Bärnighausen, David E. Bloom, Salal Humair
Africa Centre for Health and Population Studies,
Harvard Initiative for Global Health - January 2012 - PGDA Working Paper No. 85
Available online at: http://bit.ly/zcTV3L
"……..The recent shift towards funding HSS as opposed to funding only stand-alone HIV interventions has the potential to increase the effectiveness, efficiency, and sustainability of HIV programs. But several issues arise when considering when and how to combine HSS interventions with HIV-focused programs, and how to evaluate their costs and benefits.
First, the combination needs to be designed taking into account each country's circumstances.
Second, HSS interventions can differ substantially in scope or scale, raising different challenges in the evaluation of costs and benefits.
Finally, a full evaluation of an intervention needs to take into account issues such as feedback resulting from the intervention itself; and unintended consequences that can have major implications, particularly for the cost-benefit analyses of interventions such as those proposed by McGreevey et al. . Dynamic models that incorporate both feedback and unintended consequences are essential for a proper cost‐benefit accounting of HSS interventions…"
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