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The Communities Putting Prevention to Work program spent $363 million on obesity and tobacco use interventions. Most interventions cost less than $5 per person reached, with social support services being the most expensive.

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Area of Science:

  • Public Health
  • Health Economics
  • Community Interventions

Background:

  • The Centers for Disease Control and Prevention (CDC) initiated the Communities Putting Prevention to Work (CPPW) program in 2010.
  • CPPW aimed to prevent chronic diseases and promote wellness through community-based strategies targeting tobacco use and obesity.

Purpose of the Study:

  • To analyze the direct costs of the CPPW program for 44 communities funded by the American Recovery and Reinvestment Act (ARRA).
  • To determine the cost per person reached for various CPPW interventions and compare these costs across different intervention categories.

Main Methods:

  • Quarterly cost data were collected from 2011 to 2013 for 44 CPPW ARRA-funded communities.
  • Costs included labor, consultants, materials, travel, services, overhead, partners, and in-kind donations.
  • Analyses compared cost per person reached across interventions focused on tobacco use, obesity, or both, with costs reported in 2012 dollars.

Main Results:

  • The total CPPW cost was $363 million, with the largest share ($228 million) supporting obesity interventions.
  • Average costs per person reached were below $5 for 84-89% of tobacco, nutrition, and physical activity interventions.
  • Social support and services interventions had the highest costs per person reached.

Conclusions:

  • CPPW cost estimates provide valuable data for comparing intervention cost-effectiveness with health outcomes.
  • Understanding cost variations by intervention type and community size can inform future public health initiatives.