Defining a Value for Money Threshold for Investments Toward Poverty Reduction in Low- and Middle-Income Countries: Preliminary Estimates Across 69 Countries

2020 ◽  
Author(s):  
Averi Chakrabarti ◽  
Stéphane Verguet

2016 ◽  
Vol 6 (1) ◽  
Author(s):  
Anne-Marie Turcotte-Tremblay ◽  
Jessica Spagnolo ◽  
Manuela De Allegri ◽  
Valéry Ridde




2021 ◽  
Vol 5 ◽  
pp. 1
Author(s):  
Noemi Kreif ◽  
Andrew J. Mirelman ◽  
James Love-Koh ◽  
Sangjun Kim ◽  
Rodrigo Moreno-Serra ◽  
...  

Background: Health impact evaluations (HIEs) are currently the main way of assessing policy changes in low-and middle-income countries (LMICs). However, evidence on effectiveness alone cannot reliably inform decisions over the allocation of limited resources. Health economic evaluation provides a suitable framework for ‘value for money’ assessments. Methods: In this article we explore to what extent economic evaluations have been conducted alongside published health impact evaluations, then we assess the quality of these, using criteria from an economic evaluation reference case developed for use in LMICs. Results: Among the 2419 HIEs stored in the International Initiative for Impact Evaluations (3ie) database, and among the 8155 studies identified by the Ovid Medline database search, only 70 studies included an economic evaluation. When measured against the quality assessment criteria, study quality showed great variation. Many studies did not fulfil the basic requirements for economic evaluation, such as stating the perspective of the budget holder, using generic health measures that can be compared across diseases, or suitably reflecting uncertainty. Conclusions: Greater effort should be directed towards bringing the fields of impact evaluation and economic evaluation together to better inform resource allocation decisions in global health.



Author(s):  
Annette Bauer ◽  
Ricardo Araya Baltra ◽  
Mauricio Avendano Pabon ◽  
Yadira Díaz ◽  
Emily Garman ◽  
...  

Abstract Purpose Poverty and poor mental health are closely related and may need to be addressed together to improve the life chances of young people. There is currently little evidence about the impact of poverty-reduction interventions, such as cash transfer programmes, on improved youth mental health and life chances. The aim of the study (CHANCES-6) is to understand the impact and mechanisms of such programmes. Methods CHANCES-6 will employ a combination of quantitative, qualitative and economic analyses. Secondary analyses of longitudinal datasets will be conducted in six low- and middle-income countries (Brazil, Colombia, Liberia, Malawi, Mexico and South Africa) to examine the impact of cash transfer programmes on mental health, and the mechanisms leading to improved life chances for young people living in poverty. Qualitative interviews and focus groups (conducted among a subset of three countries) will explore the views and experiences of young people, families and professionals with regard to poverty, mental health, life chances, and cash transfer programmes. Decision-analytic modelling will examine the potential economic case and return-on-investment from programmes. We will involve stakeholders and young people to increase the relevance of findings to national policies and practice. Results Knowledge will be generated on the potential role of cash transfer programmes in breaking the cycle between poor mental health and poverty for young people, to improve their life chances. Conclusion CHANCES-6 seeks to inform decisions regarding the future design and the merits of investing in poverty-reduction interventions alongside investments into the mental health of young people.



2021 ◽  
Vol 17 (1) ◽  
Author(s):  
Kanykey Jailobaeva ◽  
Jennifer Falconer ◽  
Giulia Loffreda ◽  
Stella Arakelyan ◽  
Sophie Witter ◽  
...  

Abstract Background Noncommunicable diseases (NCDs), including mental health, have become a major concern in low- and middle-income countries. Despite increased attention to them over the past decade, progress toward addressing NCDs has been slow. A lack of bold policy commitments has been suggested as one of the contributors to limited progress in NCD prevention and management. However, the policies of key global actors (bilateral, multilateral, and not-for-profit organisations) have been understudied. Methods This study aimed to map the key global actors investing in action regarding NCDs and review their policies to examine the articulation of priorities regarding NCDs. Narrative synthesis of 70 documents and 31 policy papers was completed, and related to data collated from the Global Health Data Visualisation Tool. Results In 2019 41% of development assistance for health committed to NCDs came from private philanthropies, while that for other global health priorities from this source was just 20%. Through a range of channels, bilateral donors were the other major source of NCD funding (contributing 41% of NCD funding). The UK and the US were the largest bilateral investors in NCDs, each contributing 8%. However, NCDs are still under-prioritised within bilateral portfolios – receiving just 0.48% of US funding and 1.66% of the UK. NGOs were the key channels of funding for NCDs, spending 48% of the funds from donors in 2019. The reviewed literature generally focused on NCD policies of WHO, with policies of multilateral and bilateral donors given limited attention. The analysis of policies indicated a limited prioritisation of NCDs in policy documents. NCDs are framed in the policies as a barrier to economic growth, poverty reduction, and health system sustainability. Bilateral donors prioritise prevention, while multilateral actors offer policy options for NCD prevention and care. Even where stated as a priority, however, funding allocations are not aligned. Conclusion The growing threat of NCDs and their drivers are increasingly recognised. However, global actors’ policy priorities and funding allocations need to align better to address these NCD threats. Given the level of their investment and engagement, more research is needed into the role of private philanthropies and NGOs in this area.



2012 ◽  
Author(s):  
Joop de Jong ◽  
Mark Jordans ◽  
Ivan Komproe ◽  
Robert Macy ◽  
Aline & Herman Ndayisaba ◽  
...  


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