Costs and benefits of neurosurgical intervention for infant hydrocephalus in sub-Saharan Africa

2011 ◽  
Vol 8 (5) ◽  
pp. 509-521 ◽  
Author(s):  
Benjamin C. Warf ◽  
Blake C. Alkire ◽  
Salman Bhai ◽  
Christopher Hughes ◽  
Steven J. Schiff ◽  
...  
Keyword(s):  
Human Capital ◽  
Economic Benefit ◽  
Human Capital Approach ◽  
Sub Saharan Africa ◽  
Cost Ratio ◽  
Benefit Cost Ratio ◽  
Sub Saharan ◽  
The Cost ◽  
Benefit Cost ◽  
Neurosurgical Intervention

Object Evidence from the CURE Children's Hospital of Uganda (CCHU) suggests that treatment for hydrocephalus in infants can be effective and sustainable in a developing country. This model has not been broadly supported or implemented due in part to the absence of data on the economic burden of disease or any assessment of the cost and benefit of treatment. The authors used economic modeling to estimate the annual cost and benefit of treating hydrocephalus in infants at CCHU. These results were then extrapolated to the potential economic impact of treating all cases of hydrocephalus in infants in sub-Saharan Africa (SSA). Methods The authors conducted a retrospective review of all children initially treated for hydrocephalus at CCHU via endoscopic third ventriculostomy or shunt placement in 2005. A combination of data and explicit assumptions was used to determine the number of times each procedure was performed, the cost of performing each procedure, the number of disability-adjusted life years (DALYs) averted with neurosurgical intervention, and the economic benefit of the treatment. For CCHU and SSA, the cost per DALY averted and the benefit-cost ratio of 1 year's treatment of hydrocephalus in infants were determined. Results In 2005, 297 patients (median age 4 months) were treated at CCHU. The total cost of neurosurgical intervention was $350,410, and the cost per DALY averted ranged from $59 to $126. The CCHU's economic benefit to Uganda was estimated to be between $3.1 million and $5.2 million using a human capital approach and $4.6 million–$188 million using a value of a statistical life (VSL) approach. The total economic benefit of treating the conservatively estimated 82,000 annual cases of hydrocephalus in infants in SSA ranged from $930 million to $1.6 billion using a human capital approach and $1.4 billion–$56 billion using a VSL approach. The minimum benefit-cost ratio of treating hydrocephalus in infants was estimated to be 7:1. Conclusions Untreated hydrocephalus in infants exacts an enormous price from SSA. The results of this study suggest that neurosurgical intervention has a cost/DALY averted comparable to other surgical interventions that have been evaluated, as well as a favorable benefit-cost ratio. The prevention and treatment of hydrocephalus in SSA should be recognized as a major public health priority.

scholarly journals Evaluating Public Programs with Close Substitutes: The Case of Head Start*

2016 ◽  
Vol 131 (4) ◽  
pp. 1795-1848 ◽  
Author(s):  
Patrick Kline ◽  
Christopher R. Walters
Keyword(s):  
Head Start ◽  
Test Score ◽  
The United States ◽  
Cost Ratio ◽  
Public Programs ◽  
Benefit Cost Ratio ◽  
Wide Range ◽  
Fiscal Impacts ◽  
The Cost ◽  
Benefit Cost

Abstract We use data from the Head Start Impact Study (HSIS) to evaluate the cost-effectiveness of Head Start, the largest early childhood education program in the United States. Head Start draws roughly a third of its participants from competing preschool programs, many of which receive public funds. We show that accounting for the fiscal impacts of such program substitution pushes estimates of Head Start’s benefit-cost ratio well above one under a wide range of assumptions on the structure of the market for preschool services and the dollar value of test score gains. To parse the program’s test score impacts relative to home care and competing preschools, we selection-correct test scores in each care environment using excluded interactions between experimental assignments and household characteristics. We find that Head Start generates larger test score gains for children who would not otherwise attend preschool and for children who are less likely to participate in the program.

scholarly journals Analisis Kelayakan Ekonomi Mesin Pencacah Rumput Gajah Tipe Reel

Agrikultura ◽  
2018 ◽  
Vol 29 (3) ◽  
pp. 144
Author(s):  
Wahyu K Sugandi ◽  
Asep Yusuf
Keyword(s):  
Net Present Value ◽  
Payback Period ◽  
Economic Feasibility ◽  
Cost Ratio ◽  
Elephant Grass ◽  
Period Analysis ◽  
Benefit Cost Ratio ◽  
Cutting Machine ◽  
The Cost ◽  
Benefit Cost

ABSTRACTEconomic analysis reel type cutting machine for elephant grassThe need grass for fodder in the region Lembang has been increasing, but it does not followed byits quality. Therefore, cutting machine which is able to cut the fodder no more than 5 cm size is needed. The Laboratory of Agricultural Machinery and Machinery Department of Agricultural Engineering and Biosystem FTIP Unpad had been developed an elephant grass enchant machine inaccordance with the requirements of making the silage, but no economic feasibility analysis has been done for the machine. Therefore it was necessary to study the economic feasibility analysis of elephant grass cutting machine. The method used in this study was the economic analysis methodwhich includes the cost of production and the breakeven point, and business feasibility including net present value (NPV), benefit cost ratio analysis (BCR), internal rate of return (IRR) and payback period analysis (PBP). The results showed that the cost of production of elephant grass enemies was Rp 2,178 / kg with production breakeven 18.769 kg, BC ratio of 1.15, NPV1 of Rp 70,770, - NPV2 of Rp 61.333, - IRR of 27% and payback period during 2 months. So it can be concluded that the use of elephant-type elephant chopper machine was feasible to use.Keywords: Elephant grass, economic analysis, cutting machineABSTRAKKebutuhan rumput gajah untuk pakan ternak (silase) di daerah Lembang terus meningkat. Syarat pembuatan silase tersebut bahwa panjang potongan rumput gajah sebaiknya < 5 cm. Untuk itudiperlukan sebuah mesin pencacah rumput gajah sesuai syarat pembuatan silase. LaboratoriumAlat dan Mesin Pertanian Departemen Teknik Pertanian dan Biosistem FTIP Unpad telah mengembangkan sebuah mesin pencacah rumput gajah sesuai syarat pembuatan silase tersebut, tetapi belum dilakukan analisis kelayakan ekonomi untuk mesin tersebut. Oleh karena itdiperlukan suatu penelitian berkenaan dengan analisis kelayakan ekonomi mesin pencacah rumput gajah. Metode yang digunakan pada penelitian ini adalah metode analisis ekonomi yang meliputi biaya pokok produksi dan titik impas, serta kelayakan usaha yang meliputi net present value(NPV), benefit cost ratio analysis (BCR), internal rate of return (IRR) dan payback period analysis(PBP). Hasil penelitian menunjukkan bahwa biaya pokok produksi mesin pencacah rumput gajah adalah Rp 2.178/kg dengan titik impas produksi 18.769 kg, BC rasio sebesar 1,15, NPV1 sebesar Rp 70.770,- NPV2 = Rp 61.333,- IRR sebesar 27% dan payback period selama 2 bulan. Maka dapat disimpulkan bahwa pengunaan mesin pencacah rumput gajah tipe reel layak digunakan. Kata Kunci : Rumput Gajah, Analisis Ekonomi, Mesin Pencacah

scholarly journals Economic Analysis of Snail Marketing in Ibadan North East Local Government Area Oyo State, Nigeria

2019 ◽  
pp. 1-8
Author(s):  
A. F. Aderounmu ◽  
I. O. Oyewo ◽  
O. O. Oke
Keyword(s):  
Local Government ◽  
Local Government Area ◽  
Cost Ratio ◽  
Gross Margin ◽  
Benefit Cost Ratio ◽  
North East ◽  
Frequency Table ◽  
Marketing Efficiency ◽  
The Cost ◽  
Benefit Cost

This paper reports findings from a study carried out to investigate the profitability of snail marketing in Ibadan North East Local Government area of Oyo State. Structured questionnaires and interview schedules were designed to obtain information on socio-economic characteristics, operational capital and source, years of experience in the business and constraints to snail marketing. Seventy snail marketers, randomly selected from three major markets which are Oje, Agodi gate and Agugu market;. The data collected were analyzed using frequency table, percentage, gross margin, Benefit/ Cost ratio and Marketing Efficiency analyses. Majority (94.3%) of the respondents were female while 5.7% were male. 31.5% were between the ages of 51-60years with mean age of 54.9 years. It was also shown that 50% source their capital through personal savings between N11,000-N20,000 and 47.1% with 5-9years experience. The cost and return analysis revealed that total revenue was N1, 457,700.00k and total cost was N1, 285,320.00k while gross margin    was N172, 380.00k and benefit- cost ratio was 1.13 which implies that for every N1.00 invested the marketer will make a return of N1.13k on every snail sold, Marketing efficiency was 88%. Major constraints to snail marketing in the study area were poor market patronage (87.1%) and seasonality (82.9%). Snail farming is advocated since it is a profitable agribusiness and can be achieved through cooperatives and micro credit facilities. Also, marketing of snail in the area    should be restructured and standardized to command frequent patronage and command higher price value.

scholarly journals ANALISIS KELAYAKAN USAHA PEMASARAN BIBIT BUAH (Studi Kasus Pada CV. Flora Chania di Kecamatan Palaran Kota Samarinda) (The Feasibility Analysis of Marketing Business of Fruit Seedling (Case Study at the CV. Flora Chania in Palaran Subcity, Samarinda City))

2021 ◽  
Vol 4 (1) ◽  
pp. 51
Author(s):  
FADHILLAH KUSUMA RAHAYU ◽  
SYARIFAH AIDA
Keyword(s):  
Net Present Value ◽  
Secondary Data ◽  
Legal Aspects ◽  
Technical Aspect ◽  
Payback Period ◽  
Cost Ratio ◽  
Net Benefit ◽  
Benefit Cost Ratio ◽  
The Cost ◽  
Benefit Cost

The purposes of this research were to determine the cost, revenue, and profit of fruit seedling marketing and the feasibility of marketing business of fruit seedling at the CV. Flora Chania in Palaran Subcity, Samarinda City. This research was conducted during 3 months from March to May 2019. The data were collected secondary data. The analysis included calculation of cost, revenue, profit, Net Present Value (NPV), Internal Rate of Return (IRR), Net Benefit Cost Ratio (Net B/C Ratio), dan payback period. The research results showed an average operational cost of IDR248,945,720.00 year-1 or IDR20,745,477.00 month-1, an average revenue of IDR349,900,000.00 year-1 or IDR29,083,333.00 month-1 and the average income of IDR100,818,566.00 year-1 or IDR8,326,547.00 month-1. This research found  the NPV value of IDR37,464,538.00 at a factor discount rate of 10%, IRR value of 4.6%, Net B/C Ratio value of 1.32, while the payback period of 1 year and 4 months. The results of this research  indicate that based on an assessment of technical aspect, management and legal aspects, market and marketing aspects, and financial aspect, the marketing of fruit seedling is feasible to be developed. 

scholarly journals Potential returns to yam research investment in sub-Saharan Africa and beyond

2020 ◽  
Vol 49 (3) ◽  
pp. 215-224 ◽  
Author(s):  
Djana Babatima Mignouna ◽  
Adebayo Akinboye Akinola ◽  
Tahirou Abdoulaye ◽  
Arega D Alene ◽  
Victor Manyong ◽  
...  
Keyword(s):  
Poverty Reduction ◽  
Net Present Value ◽  
Sub Saharan Africa ◽  
Cost Ratio ◽  
Economic Returns ◽  
Severe Problem ◽  
Adoption Of Technology ◽  
Benefit Cost Ratio ◽  
Sub Saharan ◽  
Knowledge Intensive

Lack of good-quality planting materials has been identified as the most severe problem militating against increased agricultural productivity in sub-Saharan Africa (SSA) and beyond. However, investment of research efforts and resources in addressing this menace will only be feasible and worthwhile if attendant economic gains are considerable. As a way of investigating the economic viability of yam investment, this research has been initiated to address problems confronting yam productivity in eight countries of SSA and beyond: Nigeria, Ghana, Benin, Togo, Côte d’Ivoire, Papua New Guinea, Jamaica, and Columbia. Research options developed were to be deployed and disseminated. Key technologies include the adaptive yam minisett technique (AYMT), varieties adapted to low soil fertility and drought, nematode-resistant cultivars (NRC), and crop management and postharvest practices (CMPP). This article aims at estimating the potential economic returns, the expected number of beneficiaries, and poverty reduction consequent to the adoption of technology options. Estimates show that the new land area that will be covered by the technologies in the eight countries will range between 770,000 ha and 1,000,000 ha with the highest quota accounted for by AYMT. The net present value will range between US$584 and US$1392 million and was highest for the NRC. The CMPP had the lowest benefit-cost ratio of 7.74. About 1,049,000 people would be moved out of poverty by these technologies by 2037 in the region. These technologies are less responsive to changes in cost than that in adoption rate. Therefore, the realization of the potential economic gains depends on the rate and extent of adoption of these technologies. Giving the knowledge-intensive nature of some of these interventions, capacity building of potential adopters will be critical to increasing the sustainability of the yam sector, thereby enhancing food security and reducing poverty.

scholarly journals Economic analysis of tilapia farming in some selected area of Dinajpur District: A comparison between monoculture and polyculture

2019 ◽  
Vol 17 (1) ◽  
pp. 117-121
Author(s):  
Zannatul Ferdoushi ◽  
Zubaida Parveen Patwary ◽  
Yeasmin Ara ◽  
Masud Rana
Keyword(s):  
Study Data ◽  
Cost Ratio ◽  
Average Total Cost ◽  
Total Cost ◽  
Face To Face ◽  
Benefit Cost Ratio ◽  
The Cost ◽  
Benefit Cost ◽  
Production Period ◽  
Structured Questionnaire

The study was conducted to assess the cost and return from tilapia farming. Fifty homestead aquaculture ponds practicing monoculture and polyculture of tilapia (25 farmers from each category) were selected for this study. Data had been collected through face to face interview by using a structured questionnaire during April to September 2015 from the selected farmers of Dinajpur districts. The results from the survey revealed that both the tilapia monoculture and polyculture farming were profitable. However, the average total cost per hectare per production period was found higher (Tk. 332,712.08) in tilapia monoculture than tilapia culture with carps (Tk. 241,722.34). Moreover, the net margin was also found higher in tilapia monoculture with benefit cost ratio 1.51. Whereas, the benefit cost ratio in polyculture farming was 1.34. J. Bangladesh Agril. Univ. 17(1): 117–121, March 2019

scholarly journals Economics of Organic Vs Inorganic Carrot Production in Nepal

2009 ◽  
Vol 10 ◽  
pp. 27-33 ◽  
Author(s):  
Raj Kumar Adhikari
Keyword(s):  
Production System ◽  
Organic Fertilizer ◽  
Unit Cost ◽  
Organic Production ◽  
Cost Ratio ◽  
Gross Margin ◽  
Benefit Cost Ratio ◽  
Tillage Operation ◽  
The Cost ◽  
Benefit Cost

During February-April 2008, a study was conducted to compare the yield and economics of organic and inorganic carrot production and its profit volume in Chitwan district of Nepal. Face to face interview method was used to collect the primary information from randomly selected organic and inorganic carrot producers. Among the cost components, per unit cost on female labor and organic fertilizer were found to be higher in organic production system where as higher per unit cost on seed, tillage operation and male labor were found in inorganic production system. Higher cost and higher revenue was found in inorganic production system but higher benefit cost ratio was found in organic production system. This revealed that adoption of organic carrot production system was economically profitable than inorganic production system.  Key words: Benefit cost ratio; Carrot; Cost; Gross margin; Organic agricultureThe Journal of Agriculture and Environment Vol:10, Jun.2009 Page: 27-33

scholarly journals Increasing potato equivalent yield increases returns to investment under potato-legume intercropping systems

2019 ◽  
Vol 4 (1) ◽  
pp. 623-629 ◽  
Author(s):  
Harun I Gitari ◽  
Shadrack O Nyawade ◽  
Solomon Kamau ◽  
Charles K. K Gachene ◽  
Nancy N Karanja ◽  
...  
Keyword(s):  
Cropping Systems ◽  
Sub Saharan Africa ◽  
Cost Ratio ◽  
Pure Stand ◽  
Lablab Purpureus ◽  
Economic Returns ◽  
Benefit Cost Ratio ◽  
Returns To Investment ◽  
Sub Saharan ◽  
Equivalent Yield

AbstractIn order to enhance sustainable intensification of potato-based cropping systems, especially in sub-Saharan Africa (SSA), there is a need to investigate the economic viability of investing in this lucrative venture. This study evaluated the economic returns under legume intercropping systems using value/cost ratio (VCR) and benefit/cost ratio (BCR) under treatments comprising of potato intercropped with dolichos (Lablab purpureus L.) (P-D), climbing bean (Phaseolus vulgaris L.) (P-B) and garden pea (Pisum sativum L.) (P-G), and a potato pure stand control (P-S). Across the seasons, tuber yield was not significantly (p < 0.05) affected by intercropping with P-D, whereas under P-B and P-G, it decreased by 19% and 16%, respectively compared to P-S. P-G, P-B and P-D recorded 6, 7 and 12% higher potato equivalent yield (PEY) relative to P-S. P-D was the most profitable intercropping system with VCR of 35 and BCR of 5.1 as compared to values recorded in P-S of 31 and 5, respectively. Regression of VCR against PEY resulted in a stronger coefficient (0.98) compared to that of BCR against PEY (0.82) implying that VCR is a simple tool that could be adopted for economic returns to investment studies such as potato-legume inter-cropping systems.

scholarly journals Analysis of Benefit Cost Ratio of Sesame Production under Demonstration in Low Lands of Western Zone, Tigray, Ethiopia

2021 ◽  
pp. 1-7
Author(s):  
Tewoderos Meleaku ◽  
Desaly Gebre Tshadike ◽  
Goteom Zenbe
Keyword(s):  
Production Cost ◽  
Cost Benefit ◽  
The Other ◽  
Cost Ratio ◽  
Benefit Cost Ratio ◽  
Western Zone ◽  
The Mean ◽  
Seed Data ◽  
The Cost ◽  
Benefit Cost

This study aimed to investigate the cost-benefit of sesame production per hectare under (farmers practice, partial package and full package) practice were farmers performed side by side in their plot. Benefit cost ratio analyses of sesame was conducted in western low lands of Tigray. It includes the production year of 2016/17 E.C and bounded of two woredas with six production sites. In the present study 40 respondents of sesame producers were incorporated. Producers were categorized in to full package (row planting, fertilizer and improved seed users), partial package (broadcast, fertilizer and improved seed users) and non package (broad cast and improved seed). Data was analyzed using SPSS version 16 in terms of percentage, mean, model and others. On the other hand, per hectare yield, return, production cost, and benefit cost ratio of each package were statistically different. The mean productivity per hectare for full package, partial package and non package was 6.55, 5.26 and 3.85 quintal sequentially. The mean return per hectare of full package, partial package, and non package was 26243.75, 21746.25 and 13178.91 birr sequentially. The production cost per hectare of full package, partial package, and non package was 13826.74, 12561.35 and 8681.46 birr respectively. The mean benefit cost ratio was 1.90, 1.74 and 1.50 birr respectively for full package, partial package and non package.

scholarly journals Economic Justification for Development and Operationalization of Rail-Freight-Corridors Between Hub-Seaports and Inland Container Depots in Nigeria

2020 ◽  
Vol 9 (1) ◽  
pp. 52-76
Author(s):  
Theophilus Chinonyerem Nwokedi ◽  
Obed C. Ndikom ◽  
Chigozie Uzoma Odumodu ◽  
Ifiokobong I. Okonko
Keyword(s):  
Net Present Value ◽  
Secondary Data ◽  
Cost Ratio ◽  
Rail Freight ◽  
Benefit Cost Ratio ◽  
Private Sector Investment ◽  
Economic Justification ◽  
Container Depots ◽  
The Cost ◽  
Benefit Cost

Abstract The study provided economic justification for private sector investment in developing, revitalizing and making operable, the rail-freight-corridors between hub-seaports and inland container depots in Nigeria. It estimated the operator-benefits and profitability potentials of investment in each of the ten rail-freight-corridors consisting of existing but inoperable and proposed rail routes from the major seaports to the Inland container depots in different geopolitical regions of Nigeria. Secondary data on the import and export (cargo generation) capacities of each of the ICD regions to and from the respectively connected hub-seaport were obtained from the Nigerian ports authority statistical report covering a period of two years (2018 – 2019) based upon which the annual expected revenue earnings of the operators were estimated. The cost of investment was also obtained. Benefit-Cost-Ratio (BCR) and Net Present Value (NPV) were used to estimate the operator-benefits and profitability potentials of each rail route. It was found that six of the rail routes have BCR > 1; and NPV>0; implying higher operator-benefits over costs within the period while four of the rail-routes have BCR <1; and NPV <0; implying higher operator-costs over benefits.

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