[EQ] Cost-effectiveness of strategies to combat NCDs and injury in low- and middle-income countries

From:  Dan Chisholm - Health Economist HQ/MER Mental Health: Evidence and Research WHO 
 
 

Cost-effectiveness of strategies to combat non-communicable diseases NCDs and injury in low- and middle-income countries 
  (WHO-CHOICE series)
 
 

“….The recent high level meeting on non-communicable diseases at a special session of the United Nations General Assembly and subsequent political declaration provides a political mandate and an unprecedented opportunity to develop an international policy framework for the prevention and control of non-communicable diseases. In developing regions with a high disease burden, a key action in support of this strategy is generation of the evidence on the interventions that work best at the lowest cost in the prevention and control of non-communicable disease and injuries.

In this series of articles, WHO-CHOICE examines the relative cost effectiveness of a comprehensive set of interventions and strategies for combating major non-communicable diseases and injury in economically developing regions of the world: the first paper covers cardiovascular disease and some of its key risk factors (including raised blood pressure, raised blood cholesterol, and tobacco use), and the subsequent ones assess respiratory disease (asthma and chronic obstructive pulmonary disease), cancer (of the breast, cervix, and colon or rectum), neuropsychiatric disorders (schizophrenia, bipolar affective disorder, depression, harmful alcohol use, and epilepsy), sense organ diseases (including cataract, trachoma, refractive error, and hearing loss), and road traffic injury.

We also provide a companion paper that shows the use of these methods at the country level (Mexico)….”

What are the priorities for prevention and control of non-communicable diseases and injuries in sub-Saharan Africa and South East Asia?

Overview article (BMJ comment): http://bit.ly/zmfrJF

“…..Comparative analysis of value for money in health
….We have assessed the costs and effects of over 500 single or combined interventions for the prevention and control of non-communicable diseases and injuries in countries in sub-Saharan Africa and South East Asia that have high adult and child mortality. We have considered most of the leading contributors to this burden: cardiovascular disease and diabetes, chronic respiratory diseases, cancer, sensory loss disorders, mental disorders  and road traffic injury….”

BMJ Research articles:

CVD, diabetes and tobacco: http://www.bmj.com/content/344/bmj.e607

COPD / asthma: http://www.bmj.com/content/344/bmj.e608

Cancer: http://www.bmj.com/content/344/bmj.e614

Sensory disorders: http://www.bmj.com/content/344/bmj.e615

Neuropsychiatric conditions: http://www.bmj.com/content/344/bmj.e609

Road traffic injuries: http://www.bmj.com/content/344/bmj.e612

Country-based analysis (Mexico): http://www.bmj.com/content/344/bmj.e355

 

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