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Analyzing the Cost-Effectiveness of Interventions to Benefit Orphans and Vulnerable Children: Evidence from Kenya and Tanzania. Paul L. Hutchinson, Ph.D. Tonya R. Thurman, MPH, Ph.D. Tulane University. Background & Rationale Methodology Key Questions Results Conclusions.
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Paul L. Hutchinson, Ph.D.
Tonya R. Thurman, MPH, Ph.D.
FinalWhat is cost-effectiveness analysis (CEA)?
Cost-effectiveness analysis is form of economic evaluation in which health gains from an intervention are evaluated relative to their costs.
$ per behavior change
$ per knowledge change
$ per HIV infection averted
$ per DALY saved
$ per QALY
$ per beneficiary
$ per capita
$ per person reached
What are the per beneficiary costs for psychosocial, educational, HIV knowledge, income generation, food security and counseling outcomes?
What does it cost to achieve improvements in OVC and guardian psychosocial, educational, HIV knowledge, income generation, food security and counseling outcomes?
Marginal effect of exposure in intervention relative to comparison group
Per beneficiary cost of intervention
Catholic Relief Services
Integrated AIDS Program
Marginal reductions in probability
of food insecurity from food support
A 10% reduction the probability of food insecurity could be achieved for…?
All fairly low cost
Which is more sustainable?
The Salvation Army
Mama Mkubwa & Kids Club program
Tanzania – Tumaini Project
Kilifi OVC Porject
The Community Based Care and Support Program (COPHIA)
The Constella Futures Group (MEASURE): Florence Nyangara, Minki Chatterji, Kathy Buek, Sarah Alkenbrack
Kristin Neudorf & Jeanne-Marie Tucker
USAID: Jerusha Karuthiru, Kate Vorley, Washington Omwomo (Kenya); Elizabeth Lema, Susan Monaghan (Tanzania); Rick Berzon; John Novak, Kathleen Handley, and Scott Stewart (DC)
USG OVC Technical Working Group
Innumerable volunteers and local leaders in Kenya and TanzaniaAcknowledgements
Paul L. Hutchinson, Ph.D. / Tonya Thurman, Ph.D.
Tulane University School of Public Health and Tropical Medicine
Department of International Health and Development
1440 Canal Street, Suite 2200-TB46
New Orleans, LA 70112
Email: firstname.lastname@example.org / email@example.com