| Health intervention: |
Severity of disease a |
CEA (US$ per DALY averted) b |
Quality of evidence
for effectiveness |
Catastrophic health expenditure |
Effect on productivity |
Socio-economic status |
Borda Rank |
| Weights (adds up to 1) |
1/6 |
1/6 |
1/6 |
1/6 |
1/6 |
1/6 |
|
| Dengue (DF/DHF/DSS): Case management |
Medium
•• |
High.
Mean: 1172.
[3,32]
••• |
Medium
[33-36]
•• |
Medium.
Thailand: On average US$61 annually per family.[51]
•• |
Medium.
US$ 118 million of productive work lost yearly.[15]
•• |
High
••• |
1 |
| Trachoma: The SAFE strategy (surgery, antibiotics, face washing and environmental control) |
High
••• |
High.
Mean: 3137.
[3,32]
••• |
Medium
[37-41]
•• |
Low.
Global. 1998 US$ 6.1 for trichiasis surgery. [52]
• |
Medium.
Total potential productivity loss $ 5.3 billion (US$ 2003) [52]
•• |
High
••• |
1 |
| Visceral leishmaniasis: Case-detection and treatment, vector control |
High
••• |
Medium.
Mean: 992.
[59]
•• |
Low
[42]
• |
High.
Bangladesh: Median total expenditure 1.2 times per capita annually income. [53] India: 7 months of an individual’s income. [54]
••• |
Medium.
Nearly all deaths occur at age 5-<30, before main productive age. [15]
•• |
High
••• |
1 |
| Lymphatic filariasis: Mass drug administration. Ivermectin and albendazole in Africa, and DEC and albendazole in onchoceriasis-free countries twice annually |
Low
• |
Low.
Mean: 9.5.
[3,26,32]
• |
Medium
[43]
•• |
Low.
India: mean annual expenditure per person: US$ 2.1 [58] . 0.5 US$ per person per year (PCT, WHO)
• |
Medium.
India: infected individuals 27% less productive.[55] India: loss of >1 billion person-days per year.[56]
•• |
High
••• |
5 |
| Onchoceriasis: Community-directed treatment with ivermectin annually |
Medium
•• |
Low.
Mean: 22.45.
[ 3,26,32,]
• |
Medium
[44]
•• |
Low.
0.5 US$ per person per year (PCT, WHO)
• |
Medium.
School drop-out twice as high where head of house affected.[57]
•• |
High
••• |
4 |
| Soil-transmitted helminthiasis: Mass shool-based treatment with albendazole or mebendazole annually |
Low
• |
Low.
Mean: 6.5.
[3,32]
• |
High
[48]
••• |
Low.
0.5 US$ per person per year (PCT, WHO)
• |
Low.
No effect on school-performance. [45]
• |
High
••• |
5 |
