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Tools for Policy Analysis: Costing and Cost-Effective Analysis

Tools for Policy Analysis: Costing and Cost-Effective Analysis. Group 3 Selection of the Priority Health Project(s) for Investment. Head of the group: Dr Ali Khadr Rapporteur: Dr Mohammad Ali Khalifa Facilitator: Dr Sameen Siddiqi

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Tools for Policy Analysis: Costing and Cost-Effective Analysis

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  1. Tools for Policy Analysis:Costing and Cost-Effective Analysis Group 3 Selection of the Priority Health Project(s) for Investment

  2. Head of the group: Dr Ali Khadr • Rapporteur: Dr Mohammad Ali Khalifa • Facilitator: Dr Sameen Siddiqi • Group members: • Dr Bothaina Attal • Dr Sanaa Naffa • Dr Ishtawi Abu Zayed • Dr Riham Asady • Dr Kushkhal Khan • Dr Ali Khadr • Dr Akihiro Seita • Dr Besrat Hagos • Dr Nasr El Tantawy

  3. Exercise elements: • MoF releases $ 10 million to MoH for investment in priority areas • Very short notice • The unspent money will be lost • A list of projects is prepared by MoH • Selection by a decision making committee

  4. Role Play by the group members

  5. Issues raised and discussed during the selection process: Two scenarios: (1) ‘Business as usual’ approach 1- Timeline: very limited (as soon as possible, otherwise the money will be lost, very limited time for planning) 2- Was it a trick by the MoF ? 3- Was there a hidden agenda behind this very short notice? 4- The money will be used by interest and pressure groups to be directed towards pre-defined areas ?

  6. (2) Revolutionary new approach: To adopt scientific criteria : 1- Total DALYs averted by the selected project(s) 2- Number of people affected by the selected project(s) 3- Cost effective analysis 4- Ethical issues

  7. Decision

  8. 1st Choice: Project ‘E’ Justification: • The largest number of beneficiaries • The highest total DALYs averted • The most effective cost for total DALYs averted • Possible epidemic which needs prompt intervention (e.g viral hepatitis A) ???

  9. 2nd Choice: Project ‘D’ Justification: • The next most effective cost for total DALYs averted • It was selected for ethical reasons considering the seriousness of the expected health problem and its catastrophic effect on public health and population if it is not controlled and eliminated within a very short time. This justifies the selection despite the apparently very limited number of beneficiaries. • Possibly child leukemia

  10. 3rd Choice: Project ‘A’ Justification: • It ranks the 3rd with regard C/B ratio • The 2nd largest number of beneficiaries • Possibly elderly pneumonia

  11. Thank you

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