SKYAID
New 
Mission
Overview   
Details
    
Medical
   
Watch   
Heart attack  
Stroke    
World health  

Emergency
Cost effective
Media 
- Site Map 

SKYCAR   

Details   
Overview
  
VTOL 
  
Airline
   
Military
   
Transportation
Images 

- Site Map

Search

Translate 
 
8 languages
 

Disability Adjusted Life Year (DALY) improvement at medium cost

Table 3 Health Interventions Requiring a Higher National Income

Intervention
From: Health Sector Reform in Asia and the Pacific – options for developing countries – Asia Development Bank 1999

Prioritization Factors

Cost/ DALY ($)

Evidence of medical efficacy

Burden of disease

Corrects market failure

Improves equity

Screening for easily treated/prevented cancers

50-100

3 = Some prospective data; if discovered, treatment moderately effective

Moderate

No

No

Improvement in water supply, sanitation, and household ventilation

Unknown but likely to be high

2 = Inferred from survey data

High

Yes

Yes

Vector control using chemical pesticides

25-250

2 = Time series data; effectiveness likely

Moderate

Yes

Yes

Treatment of leprosy

25-75

4 = Clinical data

Moderate
to low

No

Yes

Blood screening for HIV

25-1,000

4 = Good data; effective if HIV prevalent

Moderate

No

No

Treatment of schizophrenia, manic-depression, and depression

75-350

4 = Good data; effective therapy

Moderate

No

No

Treatment of stable angina and diabetes

25-250

4 = Good clinical data; moderate effectiveness 3 = Prospective RCT; efficacy difficult to attain

Moderate
to low

No

No

Cancer pain palliation

150

4 = For pain relief

Moderate/ High

No

Yes

Rehabilitation from injuries, leprosy, and polio

200-225

3 = Variable depending on condition

High

No

Yes

Treatment of injuries and minor trauma

25-250

3 = Clinical efficacy excellent depending on type of injury

High

No

Yes

Notes: Evidence:
   4 = Good prospective, randomized studies with convincing results
   3 = Some prospective, well-designed studies
   2 = Cohort cross-sectional data
   1 = Case study or common practice only
       Source: Adapted from Jamison etal. (1993). Disease Control Priorities in Developing Countries