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Tools for Policy Analysis: Costing and Cost-Effective Analysis. Group 3 Selection of the Priority Health Project(s) for Investment. Head of the group: Dr Ali Khadr Rapporteur: Dr Mohammad Ali Khalifa Facilitator: Dr Sameen Siddiqi

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tools for policy analysis costing and cost effective analysis

Tools for Policy Analysis:Costing and Cost-Effective Analysis

Group 3

Selection of the Priority Health Project(s) for Investment

slide2
Head of the group:

Dr Ali Khadr

  • Rapporteur:

Dr Mohammad Ali Khalifa

  • Facilitator:

Dr Sameen Siddiqi

  • Group members:
  • Dr Bothaina Attal
  • Dr Sanaa Naffa
  • Dr Ishtawi Abu Zayed
  • Dr Riham Asady
  • Dr Kushkhal Khan
  • Dr Ali Khadr
  • Dr Akihiro Seita
  • Dr Besrat Hagos
  • Dr Nasr El Tantawy
slide3
Exercise elements:
  • MoF releases $ 10 million to MoH for investment in priority areas
  • Very short notice
  • The unspent money will be lost
  • A list of projects is prepared by MoH
  • Selection by a decision making committee
slide6
Issues raised and discussed during the selection process:

Two scenarios:

(1) ‘Business as usual’ approach

1- Timeline: very limited (as soon as possible, otherwise the money will be lost, very limited time for planning)

2- Was it a trick by the MoF ?

3- Was there a hidden agenda behind this very short notice?

4- The money will be used by interest and pressure groups to be directed towards pre-defined areas ?

slide7
(2) Revolutionary new approach:

To adopt scientific criteria :

1- Total DALYs averted by the selected project(s)

2- Number of people affected by the selected project(s)

3- Cost effective analysis

4- Ethical issues

slide10
1st Choice: Project ‘E’

Justification:

  • The largest number of beneficiaries
  • The highest total DALYs averted
  • The most effective cost for total DALYs

averted

  • Possible epidemic which needs prompt intervention (e.g viral hepatitis A) ???
slide12
2nd Choice: Project ‘D’

Justification:

  • The next most effective cost for total

DALYs averted

  • It was selected for ethical reasons considering the seriousness of the expected health problem and its catastrophic effect on public health and population if it is not controlled and eliminated within a very short time. This justifies the selection despite the apparently very limited number of beneficiaries.
  • Possibly child leukemia
slide14
3rd Choice: Project ‘A’

Justification:

  • It ranks the 3rd with regard C/B ratio
  • The 2nd largest number of beneficiaries
  • Possibly elderly pneumonia
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