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A cost-benefit analysis of a National Hypertension Treatment Program in Bangladesh

Rachel Nugent1, Elizabeth Brower2, Alejandro Cravioto3

  • 1RTI International, United States.

Preventive Medicine
|August 23, 2017
PubMed

Insights

Investing in hypertension management in Bangladesh offers significant economic benefits. Proactive treatment of high blood pressure can yield substantial returns on investment and prevent premature deaths.

Area of Science:

  • Public Health Economics
  • Cardiovascular Disease Prevention

Background:

  • Hypertension is a leading global risk factor for stroke and myocardial infarction.
  • High rates of hypertension exist in Bangladesh, affecting one in three women and one in five men.
  • Bangladesh faces an epidemiological transition, presenting an opportunity to manage hypertension.

Purpose of the Study:

  • To model the return on investment (ROI) of increasing anti-hypertensive drug coverage in Bangladesh.
  • To analyze the economic impact of hypertension management from a societal perspective.
  • To stratify ROI projections by gender and income quintile.

Main Methods:

  • Economic cost-benefit analysis was employed.
  • A societal perspective was adopted for the analysis.
  • The study modeled the ROI of providing blood-pressure lowering drugs to 60% of hypertensive adults by 2021 and 2030.

Main Results:

  • Proactive hypertension management could yield an annual ROI of 12.7:1 by 2021 and 8.6:1 by 2030.
  • The ROI is higher for providing medication to women compared to men.
  • Economic benefits are projected across different time horizons and demographic groups.

Conclusions:

  • Bangladesh has a critical window to address hypertension and realize significant economic gains.
  • Intervention can prevent thousands of premature deaths.
  • Substantial net economic benefits are achievable within six years of proactive management.
Abstract

Keywords:
Antihypertensive agentsBangladeshBlood pressureCardiovascular diseasesCost-benefit analysisEconomic evaluationHypertension

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