OBJECTIVE: Assess the cost-effectiveness of an intervention combining microfinance with gender and HIV training for the prevention of intimate partner violence (IPV) in South Africa. METHODS: We performed a cost-effectiveness analysis alongside a cluster-randomized trial. We assessed the cost-effectiveness of the intervention in both the trial and initial scale-up phase. RESULTS: We estimated the cost per DALY gained as US$7688 for the trial phase and US$2307 for the initial scale-up. The findings were sensitive to the statistical uncertainty in effect estimates but otherwise robust to other key assumptions employed in the analysis. CONCLUSIONS: The findings suggest that this combined economic and health intervention was cost-effective in its trial phase and highly cost-effective in scale-up. These estimates are probably conservative, as they do not include the health and development benefits of the intervention beyond IPV reduction.
AD - The George Institute for International Health, University of Sydney, Sydney, Australia. sjan@george.org.au AN - 20974751 BT - Health Policy and Planning ET - 2010/10/27 LA - eng M1 - 5 N1 - Jan, StephenFerrari, GiuliaWatts, Charlotte HHargreaves, James RKim, Julia CPhetla, GodfreyMorison, Linda APorter, John DBarnett, TonyPronyk, Paul MRandomized Controlled TrialResearch Support, Non-U.S. Gov'tEnglandHealth policy and planningHealth Policy Plan. 2011 Sep;26(5):366-72. Epub 2010 Oct 25. N2 -OBJECTIVE: Assess the cost-effectiveness of an intervention combining microfinance with gender and HIV training for the prevention of intimate partner violence (IPV) in South Africa. METHODS: We performed a cost-effectiveness analysis alongside a cluster-randomized trial. We assessed the cost-effectiveness of the intervention in both the trial and initial scale-up phase. RESULTS: We estimated the cost per DALY gained as US$7688 for the trial phase and US$2307 for the initial scale-up. The findings were sensitive to the statistical uncertainty in effect estimates but otherwise robust to other key assumptions employed in the analysis. CONCLUSIONS: The findings suggest that this combined economic and health intervention was cost-effective in its trial phase and highly cost-effective in scale-up. These estimates are probably conservative, as they do not include the health and development benefits of the intervention beyond IPV reduction.
PY - 2011 SN - 1460-2237 (Electronic)0268-1080 (Linking) SP - 366 EP - 72 T2 - Health Policy and Planning TI - Economic evaluation of a combined microfinance and gender training intervention for the prevention of intimate partner violence in rural South Africa VL - 26 ER -