The cost-effectiveness of a successful community-based obesity prevention program: the be active eat well program
Related Experiment Video
Updated: May 12, 2026

Multidisciplinary Approach to Obesity Management: A Case Report
Published on: May 30, 2025
Marjory L Moodie1, Jessica K Herbert, Andrea M de Silva-Sanigorski
1Deakin Health Economics, Deakin University, Australia.
Insights
The Be Active Eat Well program was affordable and cost-effective for promoting healthy habits in Australian children. It demonstrated significant benefits in physical activity and healthy eating beyond its initial funding.
Area of Science:
- Public Health Interventions
- Childhood Obesity Prevention
- Health Economics
Background:
- Childhood obesity is a significant public health concern requiring effective interventions.
- Community-based programs promoting healthy eating and physical activity are crucial for long-term health.
- Assessing the economic viability of such programs is essential for sustainable implementation.
Purpose of the Study:
- To evaluate the cost-effectiveness of the Be Active Eat Well (BAEW) program.
- To analyze the program's impact on children's health behaviors and outcomes.
- To provide economic insights for scaling up successful childhood obesity prevention strategies.
Main Methods:
- A quasi-experimental, longitudinal design with anthropometric data from 1001 children in the intervention group and 1183 in the comparator group.
- A societal perspective was adopted, measuring intervention resource use and valuing outcomes in 2006 Australian dollars (AUD).
- Outcomes were quantified as Body Mass Index (BMI) units saved and Disability Adjusted Life Years (DALYs) averted, with cost-effectiveness ratios calculated.
Main Results:
- The BAEW program incurred an annual cost of AUD0.34 million.
- The intervention resulted in savings of 547 BMI units and 10.2 DALYs.
- The net cost per DALY saved was AUD29,798, indicating cost-effectiveness.
Conclusions:
- The Be Active Eat Well program was found to be affordable and cost-effective.
- The program generated significant positive outcomes beyond its funding scope.
- Identifying key success factors and potential cost efficiencies for scaling up is recommended.
Objective:
To examine the cost-effectiveness of Be Active Eat Well (BAEW), a large, multifaceted, community-based capacity-building demonstration program that promoted healthy eating and physical activity for Australian children aged 4-12 years between 2003 and 2006.
Design And Methods:
A quasi-experimental, longitudinal design was used with anthropometric data collected at baseline (1001 children-intervention; 1183-comparator) and follow-up. A societal perspective was employed, with intervention resource use measured retrospectively based on process evaluation reports, school newsletters, reports, and key stakeholder interviews, and valued in 2006 Australian dollars (AUD). Outcomes were measured as Body Mass Index (BMI) units saved and Disability Adjusted Life Years (DALYs) averted over the predicted cohort lifetime, and reported as incremental cost-effectiveness ratios (with 95% uncertainty intervals).
Results:
The intervention cost AUD0.34M ($0.31M; $0.38M) annually, and resulted in savings of 547 (-104; 1209) BMI units and 10.2 (-0.19; 21.6) DALYs. This translated to modest cost offsets of AUD27 311 (-$1803; $58 242) and a net cost per DALY saved of AUD29 798 (dominated; $0.26M).
Conclusions:
BAEW was affordable and cost-effective, and generated substantial spin-offs in terms of activity beyond funding levels. Elements fundamental to its success and any potential cost efficiencies associated with scaling-up now require identification.
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