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Costing and economic impact evaluation

A crucial component of health system strengthening is ensuring that investments provide good value for money. Many of the countries we work in have limited resources, making it doubly important that our efforts have strong impact at low cost – cutting out wastage and ensuring sustainability.

We therefore incorporate economic considerations into all our work. We provide sound evidence of the economic benefits of implementing projects and initiatives by including costing elements in our proposals and in our technical advice.

As domestic funding plays an increasingly significant role in funding public health initiatives in low and middle-income countries, financial considerations are likely to affect decisions to cover more of the costs associated with health sector improvements. We continue to work closely with governments and ministries of health to think through the economic gains and costs of various interventions – weighing options to find ones that provide best value for money. Regardless of a country’s chosen funding model, our recommendations will always aim to reduce barriers to access, eliminate impoverishing health expenditure and out-of-pocket payments for the poorest groups.

  • When evaluating health interventions, we seek to answer the following questions:
  • What will be the health, social and economic gain of the intervention as compared to its cost?
  • Which interventions will best work to de-burden the health system?
  • How much will it cost the international community?
  • How can we deliver interventions in a cost-effective and context-appropriate way, while maintaining high standards of quality and improving access?

As part of our advocacy efforts, we also work with governments and key stakeholders to ensure that funding for critical health issues remains high.