促进越南早期儿童发展:与集群随机试验一起进行成本效益分析
Yeji Baek1, Zanfina Ademi2, Thach Tran1
1School of Public Health and Preventive Medicine, Monash University, Melbourne, VIC, Australia.
The Lancet. Global health
|July 20, 2023
概括
这项研究发现,越南的多组分早期儿童发展干预措施具有成本效益,改善了儿童的认知,语言和运动技能. 这项干预支持在类似环境中扩大规模.
科学领域:
- 儿童发展 儿童发展
- 公共卫生经济学 公共卫生经济学
- 干预科学 干预科学
背景情况:
- 经济评估对于儿童发展计划的有效资源配置至关重要.
- 扩大早期儿童干预措施的规模需要强大的成本效益数据.
- 这项研究解决了在低资源环境中经济证据的需求.
研究的目的:
- 估计越南农村地区多组件幼儿发展干预措施的成本效益.
- 提供支持实施和扩大类似干预措施的数据.
- 从服务提供商和家庭的角度分析成本.
主要方法:
- 进行了一个集群随机试验,时间范围为30个月.
- 669名母亲 (干预组) 和576名母亲 (对照组) 参与.
- 增量成本效益比率 (ICER) 使用非参数引导和3%的折扣率来计算.
主要成果:
- 总干预成本为169,898美元,每名儿童的经常性成本为58美元.
- 基础案例ICER为每获得的认知发展得分14美元.
- 每个语言和运动发育得分的ICER分别为22美元和20美元.
结论:
- 干预措施证明了成本效益,ICERs仅占越南人均GDP的一小部分.
- 观察到认知,语言和运动发育的显著改善.
- 这些发现支持这种干预在可比的社会经济环境中的可扩展性.
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