Bulletin of the World Health Organization

Global cost of child survival: estimates from country-level validation

Liselore van Ekdom, Karin Stenberg, Robert W Scherpbier, Louis W Niessen & on behalf of the ad hoc Study Group for Child Health Cost Validation

Volume 89, Number 4, April 2011, 267-277

Table 2. Estimated cost,a by model, of child survival interventionsb in 26 respondent countries, 2010–2015

Modelc Total cost 2010–2015 Change from original (%) Change from V (%) Change from U4 (%) Patient costs 2010–2015 Change from original (%) Change from V (%) Change from U4 (%) Programme costs 2010–2015 Change from original (%) Change from V (%) Change from U4 (%)
Original 2007 16.86 12.19 4.67
V 25.88 53 14.66 20 11.21 140
U1 25.14 49 −2.8 12.64 4 −14 12.50 167 11
U2 29.83 77 15 17.33 42 18 12.50 167 11
U3 27.16 61 5.0 14.66 20 0 12.50 167 11
U4 27.48 63 6.2 14.98 23 2 12.50 167 11
S1 24.37 44 −5.8 −11.3 12.52 3 −15 −16.4 11.84 153 6 −5.3
S2 28.12 67 8.7 2.3 15.62 28 7 4.3 12.50 167 11 0.0
S3 26.67 58 3.1 −2.9 14.17 16 −3 −5.4 12.50 167 11 0.0
U5 31.83 89 23.0 15.8 18.55 52 27 23.9 13.28 184 18 6.2

S, sensitivity analyses; U, information updates; V, validation.

a In billions of 2004 United States dollars.

b Of the World Health Organization’s Department of Child and Adolescent Health and Development (CAH).

c The CAH model includes patient-related (intervention) costs for the following areas: breastfeeding counselling, improvement of complementary feeding, severe malnutrition management, pneumonia management, diarrhoea management, antibiotic treatment for dysentery, measles complications, community-based case management, neonatal infections, vitamin A supplementation and regular deworming. In addition, it includes the following programme cost components: community health workers, supervision, training, monitoring and evaluation; information, education and communication; advocacy; laws, policy and regulation; infrastructure; technical assistance; general management.