Access to Secondary HSR Stations in the Urban Periphery: A Generalised Cost-Based Assessment

Investments in high-speed rail (HSR) development contribute to reducing regional disparities and improving territorial cohesion. When studying the efficacy of HSR investments, the travel time (and effort) spent on getting to and from the HSR station is crucial. In large urban areas there may be more than one station, and a peripheral station may complement the central stations and become a powerful vector for development. The rationale of this paper revolves around the possibility of applying a methodology based on generalised cost (GC) functions to study the advantages of new HSR-related projects in different locations. With this aim, we evaluate a real example in Seville (Spain) to determine whether the improvement in metropolitan accessibility to HSR services justifies the implementation of a new peripheral station, using a methodology to assess the territorial accessibility based on GC functions and modal travel times obtained with GIS methods, followed by an economic assessment based on a cost-benefit analysis. The paper ends with the main conclusions and a discussion of the methodology applied, the reductions in generalised costs resulting from the new station, the relevance of the case study, the limitations of the approach and further research stemming from this study.

Generalised cost-effectiveness analysis of 159 health interventions for the Ethiopian essential health service package

Background Cost effectiveness was a criterion used to revise Ethiopia’s essential health service package (EHSP) in 2019. However, there are few cost-effectiveness studies from Ethiopia or directly transferable evidence from other low-income countries to inform a comprehensive revision of the Ethiopian EHSP. Therefore, this paper reports average cost-effectiveness ratios (ACERs) of 159 health interventions used in the revision of Ethiopia’s EHSP. Methods In this study, we estimate ACERs for 77 interventions on reproductive maternal neonatal and child health (RMNCH), infectious diseases and water sanitation and hygiene as well as for 82 interventions on non-communicable diseases. We used the standardised World Health Organization (WHO) CHOosing Interventions that are cost effective methodology (CHOICE) for generalised cost-effectiveness analysis. The health benefits of interventions were determined using a population state-transition model, which simulates the Ethiopian population, accounting for births, deaths and disease epidemiology. Healthy life years (HLYs) gained was employed as a measure of health benefits. We estimated the economic costs of interventions from the health system perspective, including programme overhead and training costs. We used the Spectrum generalised cost-effectiveness analysis tool for data analysis. We did not explicitly apply cost-effectiveness thresholds, but we used US$100 and $1000 as references to summarise and present the ACER results. Results We found ACERs ranging from less than US$1 per HLY gained (for family planning) to about US$48,000 per HLY gained (for treatment of stage 4 colorectal cancer). In general, 75% of the interventions evaluated had ACERs of less than US$1000 per HLY gained. The vast majority (95%) of RMNCH and infectious disease interventions had an ACER of less than US$1000 per HLY while almost half (44%) of non-communicable disease interventions had an ACER greater than US$1000 per HLY. Conclusion The present study shows that several potential cost-effective interventions are available that could substantially reduce Ethiopia’s disease burden if scaled up. The use of the World Health Organization’s generalised cost-effectiveness analysis tool allowed us to rapidly calculate country-specific cost-effectiveness analysis values for 159 health interventions under consideration for Ethiopia’s EHSP.

Generalised Cost-Effectiveness Analysis of 159 Health Interventions for the Ethiopian Essential Health Service Package

Background: Cost effectiveness was a criterion used to revise Ethiopia’s essential health service package (EHSP) in 2019. However, there are few cost-effectiveness studies from Ethiopia or directly transferable evidence from other low-income countries to inform a comprehensive revision of the Ethiopian EHSP. Therefore, this paper reports average cost-effectiveness ratios (ACERs) of 159 health interventions used in the revision of Ethiopia’s EHSP. Methods: In this study, we estimate ACERs for 77 interventions on reproductive maternal neonatal and child health (RMNCH), infectious diseases and water sanitation and hygiene as well as for 82 interventions on non-communicable diseases. We used the standardised World Health Organization (WHO) CHOosing Interventions that are Cost Effective methodology (CHOICE) for generalised cost-effectiveness analysis. The health benefits of interventions were determined using a population state-transition model, which simulates the Ethiopian population, accounting for births, deaths and disease epidemiology. Healthy life years (HLYs) gained was employed as a measure of health benefits. We estimated the economic costs of interventions from the health system perspective, including programme overhead and training costs. We used the Spectrum generalised cost-effectiveness analysis tool for data analysis. We did not explicitly apply cost-effectiveness thresholds, but we used US$100 and $1,000 as references to summarise and present the ACER results. Results: We found ACERs ranging from less than US$1 per HLY gained (for family planning) to about US$48,000 per HLY gained (for treatment of stage 4 colorectal cancer). In general, 75% of the interventions evaluated had ACERs of less than US$1,000 per HLY gained. The vast majority (95%) of RMNCH and infectious disease interventions had an ACER of less than US$1,000 per HLY while almost half (44%) of non-communicable disease interventions had an ACER greater than US$1,000 per HLY. Conclusion: The present study shows that several potential cost-effective interventions are available that could substantially reduce Ethiopia’s disease burden if scaled up. The use of the World Health Organization’s generalised cost-effectiveness analysis tool allowed us to rapidly calculate country-specific cost-effectiveness analysis values for 159 health interventions under consideration for Ethiopia’s EHSP.

Port Cooperation and Bundling: A Way to Reduce the External Costs of Hinterland Transport

The present paper studies the bundling of road cargo flows of neighbouring seaports to a common hinterland. In specific cases, some hinterland flows can be too small to make bundling in a sufficient frequency possible. By combining the road freight flows of neighbouring ports, this problem can be solved. However, the additional cost of bundling and the loss of time need to be compensated for by a lower transport cost. The paper presents an empirical model for the 104 core Trans-European Transport Network (TEN-T) ports of the European Union (EU) and their 271 NUTS2 (Nomenclature of Territorial Units for Statistics) hinterland regions that allows identifying opportunities for bundling as well as the direct and external cost effects. By including the value of time (VOT) of each transport mode, the generalised cost is also calculated. The result is a business model that helps port authorities, and other port actors, to identify bundling projects that will lower the direct, generalised and external costs of the hinterland connectivity, thus increasing the port attractiveness for port users as well as lowering potential aversion by the surrounding community to port operations that create hinterland nuisance.

Comparative Cost Analysis of Domestic Container Shipping Network: A Case Study of Indonesian Sea-Toll Concept

The Logistics Performance Index (LPI) of Indonesia shows minor improvement compared to neighbouring countries such as Singapore and Malaysia. The economic disparity between Indonesia’s eastern and western regions has reportedly become one of the fundamental problems in the country. Consequently, an ambitious project on shipping connectivity improvement, namely the ‘Sea-Toll’, has been proclaimed by the Indonesian government to overcome this chronic problem. One of the most influential parameters for measuring the success rate of this project is cost efficiency. Therefore, this paper proposes a comparative approach by constructing a generalised cost model. It develops a measurement for transport costs that combines actual freight cost with the value of time attached to delivery activities concerning cargo types. Overall results study depend on the shipping network is described in terms of a current and future condition. This condition is because the factor of economies of scale has a significant influence in the combination of actual empirical data and extractions of regression approach with the function of vessel size. Finally, all scenarios show that there is a positive relationship with a convincing impact on efforts to save costs for domestic shipping routes after the implementation of the sea-Toll program.

Generalised Cost-Effectiveness Analysis of 159 Health Interventions For The Ethiopian Essential Health Service Package

Background: Cost effectiveness was a criterion used to revise Ethiopia’s essential health service package (EHSP) in 2019. However, there are few cost-effectiveness studies from Ethiopia or directly transferable evidence from other low-income countries to inform a comprehensive revision of the Ethiopian EHSP. Therefore, this paper reports average cost-effectiveness ratios (ACERs) of 159 health interventions used in the revision of Ethiopia’s EHSP. Methods: In this study, we estimate ACERs for 77 interventions on reproductive maternal neonatal and child health (RMNCH), infectious diseases and water sanitation and hygiene as well as for 82 interventions on non-communicable diseases. We used the standardised World Health Organization CHOosing Interventions that are Cost Effective methodology for generalised cost-effectiveness analysis. The health benefits of interventions were determined using a population state-transition model, which simulates the Ethiopian population, accounting for births, deaths and disease epidemiology. Healthy life years (HLYs) gained was employed as a measure of health benefits, and we estimated the economic costs of interventions from the health system perspective, including programme overhead and training costs. We used the Spectrum generalised cost-effectiveness analysis tool for data analysis. We did not explicitly apply cost-effectiveness thresholds, but we used US$100 and $1,000 as references to summarise and present the ACER results. Results: We found ACERs ranging from less than US$1 per HLY gained (for family planning) to about US$48,000 per HLY gained (for treatment of stage 4 colorectal cancer). In general, 75% of the interventions evaluated had ACERs of less than US$1,000 per HLY gained. The vast majority (95%) of RMNCH and infectious disease interventions had an ACER of less than US$1,000 per HLY while almost half (44%) of non-communicable disease interventions had an ACER greater than US$1,000 per HLY. Conclusion: The present study shows that several potential cost-effective interventions are available that could substantially reduce Ethiopia’s disease burden if scaled up. The use of the World Health Organization’s generalised cost-effectiveness analysis tool allowed us to rapidly calculate country-specific cost-effectiveness analysis values for 159 health interventions under consideration for Ethiopia’s EHSP.

Method for Determining the Valid Travel Route of Railways Based on Generalised Cost under the Syncretic Railway Network

Travel route options for passengers can provide data support for railway line planning, passenger flow organisation, and train operation establishment. A critical review of the literature indicates that previous studies mainly focused on choices offered by a single railway network path without much consideration of China’s normal-speed and high-speed integrated railway network and the effect of train timetable on passengers’ travel choice. In this study, a method based on generalised cost is proposed to discover the valid routes of passenger travel in the integrated network of China’s normal-speed and high-speed railways. After quantifying the effects of train fare, travel time, transfer, travel convenience, comfort, and other factors on the generalised expenses of passengers, this study presents a generalised cost determination method when individuals select an option from different seats of different trains of specific railway transport products. Theoretically, the valid routes considering the train schedule is defined, and a valid route search algorithm is designed using the deep traversal idea in a new valid route searching network. Considering the Lanzhou-Beijing passenger travel routes as an example, this study verifies the practicability of the generalised cost calculation method, as well as that of the valid routes search method.

Dynamic Demand Forecast and Assignment Model for Bike-and-Ride System

Bike-and-Ride (B&R) has long been considered as an effective way to deal with urbanization-related issues such as traffic congestion, emissions, equality, etc. Although there are some studies focused on the B&R demand forecast, the influencing factors from previous studies have been excluded from those forecasting methods. To fill this gap, this paper proposes a new B&R demand forecast model considering the influencing factors as dynamic rather than fixed ones to reach higher forecasting accuracy. This model is tested in a theoretical network to validate the feasibility and effectiveness and the results show that the generalised cost does have an effect on the demand for the B&R system.