Health Gains & Financial Protection from Ethiopian Mental Health Strategy: An ECEA
2016
Using the extended cost-effectiveness analysis (ECEA), this paper evaluates the impacts of fully publicly financed care for depression, bipolar disorder, schizophrenia and epilepsy as part of the mental and neurological package (MN) of the National Mental Health Strategy in Ethiopia. The following outcomes were estimated disaggregated across wealth quintiles: (1) healthy-life-years (HALYs) gained; (2) household out-of-pocket (OOP) expenditures averted (3) expected financial risk protection (FRP); and (4) productivity impact.
The MN package is expected to gain 155,000 HALYs annually, concentrated among the poorest groups for all interventions. Because of current low utilization of MN services in Ethiopia, Universal public finance averts little household OOP expenditures and provides minimal FRP. The total MN package in Ethiopia is estimated to cost equivalent to US$1.8 per capita and yields large progressive health benefits. The expected productivity gain is substantially higher than the expected FRP.
Health Gains & Financial Protection from Ethiopian Mental Health Strategy: An ECEA
Source:
Johansson KA, Strand KB, Fekadu et al. Health Gains and Financial Protection Provided by the Ethiopian Mental Health Strategy: An Extended Cost-Effectiveness Analysis. Health Policy and Planning 2016; 32 (3): 376-383. https://doi.org/10.1093/heapol/czw134