Cost-effectiveness analysis of the diarrhea alleviation through zinc and oral rehydration therapy (DAZT) program in rural Gujarat India: an application of the net-benefit regression framework

Background This study evaluates the cost-effectiveness of the DAZT program for scaling up treatment of acute child diarrhea in Gujarat India using a net-benefit regression framework. Methods Costs were calculated from societal and caregivers’ perspectives and effectiveness was assessed in terms of c...

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Bibliographic Details
Published in:Cost effectiveness and resource allocation Vol. 15; no. 1; pp. 9 - 15
Main Authors: Shillcutt, Samuel D., LeFevre, Amnesty E., Fischer-Walker, Christa L., Taneja, Sunita, Black, Robert E., Mazumder, Sarmila
Format: Journal Article
Language:English
Published: London BioMed Central 08.06.2017
BioMed Central Ltd
Springer Nature B.V
BMC
Subjects:
Capital costs
Care and treatment
Caregivers
Child mortality
Childhood diarrhea
Children & youth
Cost analysis
Cost control
Cost-effectiveness
Diarrhea
Economic aspects
Health Administration
Health care costs
Health care expenditures
Health Economics
Health Services Research
Hypotheses
India
Intervention
Medicine
Medicine & Public Health
Methods
Net-benefit regression
Oral rehydration salts
Oral rehydration therapy
Pharmacoeconomics and Health Outcomes
Public Health
Quality of Life Research
Standard deviation
Studies
Trends
Zinc
Zinc (Nutrient)
India
Gujarat India
Implementation science
Diarrhea
Developing countries
Oral rehydration salts
Cost-effectiveness
Net-benefit regression
Zinc
India
ISSN:1478-7547, 1478-7547
Online Access:Get full text
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Summary:Background This study evaluates the cost-effectiveness of the DAZT program for scaling up treatment of acute child diarrhea in Gujarat India using a net-benefit regression framework. Methods Costs were calculated from societal and caregivers’ perspectives and effectiveness was assessed in terms of coverage of zinc and both zinc and Oral Rehydration Salt. Regression models were tested in simple linear regression, with a specified set of covariates, and with a specified set of covariates and interaction terms using linear regression with endogenous treatment effects was used as the reference case. Results The DAZT program was cost-effective with over 95% certainty above $5.50 and $7.50 per appropriately treated child in the unadjusted and adjusted models respectively, with specifications including interaction terms being cost-effective with 85–97% certainty. Discussion Findings from this study should be combined with other evidence when considering decisions to scale up programs such as the DAZT program to promote the use of ORS and zinc to treat child diarrhea.
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ISSN:1478-7547
1478-7547
DOI:10.1186/s12962-017-0070-y