Arnab Acharya - Measuring cost-effectiveness in - Jane Hammaker - impact evaluation - Douglas Glandon

Table of Contents

• Acknowledgments 4
• Note from the Authors 4
• List of boxes, figures, and tables 6
• Glossary 7
• 1. Introduction and Motivation 11
• 1.1 What is cost-effectiveness analysis? 11
• 1.2 What are costs? 11
• 1.3 Why include cost-effectiveness analysis in development programming? 11
• 1.4 What are other methods for economic evaluation? 12
• 1.5 Why measure cost-effectiveness? 12
• 1.6 How is cost-effectiveness analysis conducted? 13
• 1.7 Learning objectives for this handbook 14
• 1.8 Planning for CEA in the project lifecycle 14
• 1.1. 16
• 1.2. 16
• 1.3. 16
• 1.4. 16
• 1.5. 16
• 1.6. 16
• 1.7. 16
• 1.8. 16
• 2. Defining the intervention and scope of study 17
• 2. 17
• 2.1 Developing cost research questions 17
• 2.2 Defining the intervention 19
• 2.1. 19
• 2.2. 19
• 2.2.1 Key considerations for planning CEA 19
• 3. Developing the cost collection template 22
• 3. 22
• 3.1 Activity-based costing 22
• 3. 24
• 3.1. 24
• 3.1.1 Listing ingredients 24
• 4. Collecting and adjusting costs 26
• 4. 26
• 4.1 Planning for cost data collection 26
• 4. 27
• 4.1. 27
• 4.1.1 Who provides the data? 27
• 4.1.2 When will the data be collected? 27
• 4.1.3 Is it recommended to collect costs for the comparator or control group? 27
• 4.1.4 Can we just use budget data? 27
• 4.2 Adjustments to costs 28
• 4. 29
• 4.2 29
• 4.2.1 Time-based adjustments 29
• 4.2.2 Non-time-based adjustments 33
• 4.2.3 Cost sharing 35
• 4.3 Uncertainty and sensitivity 35
• 5. Reporting costs and impact 36
• 5. 36
• 5.1 Cost methods 36
• 5.2 Cost summaries 36
• 5.3 Understanding cost in relation to impact 38
• 5.4 Bringing cost and effectiveness together 39
• 5.2 39
• 5.3 39
• 5.4 39
• 5.4.1 The comparator 39
• 5.4.2 The incremental cost-effectiveness ratio 40
• 5.4.3 Thresholds 45
• 5.5 Scaling-up 45
• 5.6 Multiple outcomes 46
• 6. Conclusion 46
• Appendix A: Costing Checklist 47
• Appendix B: Cost Sharing 48
• References 49