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The cost-effectiveness of Australia's Active After-School Communities program
Marjory L Moodie1, Robert C Carter, Boyd A Swinburn
1Deakin Health Economics, Public Health Research Evaluation and Policy Cluster, Deakin University, Burwood, Victoria, Australia. marj.moodie@deakin.edu.au
Obesity (Silver Spring, Md.)
|November 7, 2009
Summary
The Active After-school Communities (AASC) program was not cost-effective for obesity prevention in Australian children. Improvements require reduced costs and increased participation in physical activity.
Area of Science:
- Public Health
- Health Economics
- Obesity Prevention
Background:
- The Active After-school Communities (AASC) program was a key Australian Government initiative to prevent childhood obesity.
- Childhood obesity is a significant public health concern requiring effective and economically viable interventions.
Purpose of the Study:
- To assess the societal cost-effectiveness of the AASC program for Australian primary school children.
- To evaluate the program's impact on disability-adjusted life years (DALYs) and associated cost-offsets.
Main Methods:
- A simulation-modeling approach was used within the Assessing Cost-Effectiveness in Obesity (ACE-Obesity) project.
- The model tracked DALY benefits and cost-offsets over a 1-year time horizon, with a 3% discount rate applied.
Main Results:
- The AASC program cost AUD 40.3 million and saved an estimated 450 DALYs.
- The net cost per DALY saved was AUD 82,000, indicating it was not cost-effective under base-case assumptions.
- A stakeholder Working Group assessed additional factors like equity, feasibility, and sustainability.
Conclusions:
- The AASC program, as modeled, did not demonstrate cost-effectiveness for obesity prevention.
- To enhance cost-effectiveness, the program needs reduced costs, increased child participation, and greater physical activity engagement.
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