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dc.contributor.authorVerguet, Stéphaneen_US
dc.contributor.authorOlson, Zachary D.en_US
dc.contributor.authorBabigumira, Joseph B.en_US
dc.contributor.authorDesalegn, Dawiten_US
dc.contributor.authorJohansson, Kjell Arneen_US
dc.contributor.authorKruk, Margaret E.en_US
dc.contributor.authorLevin, Carol E.en_US
dc.contributor.authorNugent, Rachel A.en_US
dc.contributor.authorPecenka, Clinten_US
dc.contributor.authorShrime, Mark G.en_US
dc.contributor.authorMemirie, Solomon Tessemaen_US
dc.contributor.authorWatkins, David A.en_US
dc.contributor.authorJamison, Dean T.en_US
dc.PublishedThe Lancet Global Health 2015, 3(5):e288-e296eng
dc.description.abstractBackground: The way in which a government chooses to finance a health intervention can affect the uptake of health interventions and consequently the extent of health gains. In addition to health gains, some policies such as public finance can insure against catastrophic health expenditures. We aimed to evaluate the health and financial risk protection benefits of selected interventions that could be publicly financed by the government of Ethiopia. Methods: We used extended cost-effectiveness analysis to assess the health gains (deaths averted) and financial risk protection afforded (cases of poverty averted) by a bundle of nine (among many other) interventions that the Government of Ethiopia aims to make universally available. These nine interventions were measles vaccination, rotavirus vaccination, pneumococcal conjugate vaccination, diarrhoea treatment, malaria treatment, pneumonia treatment, caesarean section surgery, hypertension treatment, and tuberculosis treatment. Findings: Our analysis shows that, per dollar spent by the Ethiopian Government, the interventions that avert the most deaths are measles vaccination (367 deaths averted per USD100 000 spent), pneumococcal conjugate vaccination (170 deaths averted per USD100 000 spent), and caesarean section surgery (141 deaths averted per USD100 000 spent). The interventions that avert the most cases of poverty are caesarean section surgery (98 cases averted per USD100 000 spent), tuberculosis treatment (96 cases averted per USD100 000 spent), and hypertension treatment (84 cases averted per USD100 000 spent). Interpretation: Our approach incorporates financial risk protection into the economic evaluation of health interventions and therefore provides information about the efficiency of attainment of both major objectives of a health system: improved health and financial risk protection. One intervention might rank higher on one or both metrics than another, which shows how intervention choice—the selection of a pathway to universal health coverage—might involve weighing up of sometimes competing objectives. This understanding can help policy makers to select interventions to target specific policy goals (ie, improved health or financial risk protection). It is especially relevant for the design and sequencing of universal health coverage to meet the needs of poor populations.en_US
dc.rightsAttribution CC BY-NC-SAeng
dc.titleHealth gains and financial risk protection afforded by public financing of selected interventions in Ethiopia: An extended cost-effectiveness analysisen_US
dc.typePeer reviewed
dc.typeJournal article
dc.rights.holderCopyright 2015 The Authors
dc.subject.nsiVDP::Medisinske fag: 700::Helsefag: 800::Helsetjeneste- og helseadministrasjonsforskning: 806
dc.subject.nsiVDP::Midical sciences: 700::Health sciences: 800::Health service and health administration research: 806
dc.subject.nsiVDP::Medisinske fag: 700::Helsefag: 800::Samfunnsmedisin, sosialmedisin: 801
dc.subject.nsiVDP::Midical sciences: 700::Health sciences: 800::Community medicine, social medicine: 801

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