Cost-effectiveness and resource implications of aggressive action on tuberculosis in China, India, and South Africa

Menzies, N.A., Gomez, G.B., Bozzani, F., Chatterjee, S., Foster, N., Baena, I.G., Laurence, Y.V., Qiang, S., Siroka, A., Sweeney, S. and Verguet, S., 2016. Cost-effectiveness and resource implications of aggressive action on tuberculosis in China, India, and South Africa: a combined analysis of nine models. The Lancet global health, 4(11), pp.e816-e826.


Health Outcomes:

  • Substantial health gains were observed in India, China, and South Africa following expanded access to tuberculosis care.

Cost-Effectiveness:

  • Most intervention approaches were highly cost-effective compared to current practices and conventional cost-effectiveness thresholds.
  • Efforts to improve access to care proved to be notably beneficial and cost-effective in each setting analyzed.

Policy Considerations:

  • Significant differences in the effectiveness and efficiency of various approaches necessitate careful planning in service expansion.
  • Implementing expanded services effectively would require substantial new funding.

Cost Implications:

  • Incremental costs for tuberculosis services varied by scenario and country, sometimes more than doubling the existing funding needs.

Economic and Health Benefits:

  • Expansion of tuberculosis services generally reduced patient-incurred costs.
  • In India and China, most interventions resulted in net cost savings from a societal perspective.

 

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