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Introduction to the Special Issue on "The World Health Organization Choosing Interventions That Are Cost-Effective
Melanie Y Bertram1, Tessa Tan Torres Edejer1
1Department of Health Systems Governance and Financing, World Health Organization, Geneva, Switzerland.
International Journal of Health Policy and Management
|October 12, 2021
Summary
The World Health Organization CHOosing Interventions that are Cost-Effective (WHO-CHOICE) approach offers generalized cost-effectiveness analysis for health system efficiency. It provides updated estimates and tools for priority setting to achieve equitable universal health coverage.
Area of Science:
- Global Health
- Health Economics
- Health Systems Research
Background:
- The World Health Organization CHOosing Interventions that are Cost-Effective (WHO-CHOICE) approach provides a generalized cost-effectiveness analysis (CEA) framework.
- CEA is crucial for healthcare priority setting, decision-making, and resource allocation.
- WHO-CHOICE offers regional cost-effectiveness estimates and country-level analysis tools.
Discussion:
- This series updates the WHO-CHOICE methodology and presents new cost-effectiveness estimates for 479 interventions across various health areas.
- The papers cover maternal, newborn, and child health; HIV, tuberculosis, and malaria; and non-communicable diseases and mental health.
- Example universal health coverage (UHC) benefit packages are presented, demonstrating interventions on the efficiency frontier across all disease areas.
Key Insights:
- Institutionalizing decision-making processes is critical for countries to effectively manage health benefits.
- Universal health coverage (UHC) benefit packages require continuous revision to adapt to changing country needs and financial capacities.
- A systematic approach to updating health benefit packages ensures progressive realization and equitable access to care.
Outlook:
- Future efforts should focus on institutionalizing transparent and fair decision-making processes for health system strengthening.
- Ongoing evaluation and adaptation of UHC benefit packages are essential for long-term health system sustainability.
- The WHO-CHOICE framework can guide countries in optimizing resource allocation for achieving universal health coverage.
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