Accounting for the cost of scaling-up health interventions
Article first published online: 25 FEB 2004
Copyright © 2004 John Wiley & Sons, Ltd.
Volume 13, Issue 11, pages 1117–1124, November 2004
How to Cite
Johns, B. and Baltussen, R. (2004), Accounting for the cost of scaling-up health interventions. Health Econ., 13: 1117–1124. doi: 10.1002/hec.880
- Issue published online: 26 OCT 2004
- Article first published online: 25 FEB 2004
- Manuscript Accepted: 7 OCT 2003
- Manuscript Received: 26 MAR 2003
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 ‘scaled-up’ 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 WHO-CHOICE's generalised cost effectiveness analysis, which includes non-linear 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 © 2004 John Wiley & Sons, Ltd.