Here is a new report on the cost-efficiency and cost-effectiveness of the management of wasting in children: A review of the evidence, approaches, and lessons.
Results are:
- Indications are that CMAM is cost-effective. There is some evidence that community health worker-led treatment of severe wasting increases cost-effectiveness relative to outpatient treatment alone. The combined protocol for the treatment of MAM and SAM was also found to be cost-effective compared to standard care.
- Cost per child treated for severe wasting ranged from US$56 to US$805 while cost per child recovered ranged from US$114 to US$1041.
- The high degree of variance in the findings suggest the importance of contextual determinants of cost-efficiency and cost-effectiveness are at play including the scale of the programme. Differences in methods used in data collection and analysis also contributed to this.
Key discussions/Recommendations:
- More cost-efficiency and cost-effectiveness analysis, in particular largescale longer-term community-based programmes and new approaches, are needed to inform decision-making on treatment options.
- Cost data collection and analysis methodologies need to be agreed and standardised across the sector.
- There needs to also be transparency on the methods and costs used, as well as the context in which these programmes take place.
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