Cost-Effectiveness of Strategies to Prevent Road Traffic Injuries in Eastern Sub-Saharan Africa and Southeast Asia: New Results from WHO-CHOICE
2018
The authors applied a generalized cost-effectiveness analysis (GCEA) approach, applying a null reference case, in which the effects of currently implemented interventions were subtracted from current rates of burden, in order to identify the most efficient package of interventions that could be applied to Road Traffic Injuries (RTIs). They used a population model to estimate costs and effectiveness of interventions over a 100 year time frame in eastern sub-Saharan Africa and Southeast Asia. All heath system costs were included regardless of payer .
The authors found that in Southeast Asia, drinking and driving legislation and enforcement via random breath testing at roadside checkpoints was the most cost-effective intervention and a combination of “speed limits + random breath testing + motorcycle helmet use” the most cost-effective package. In eastern sub-Saharan Africa, enforcement of speed limits via mobile/handheld cameras was the most cost-effective single intervention with the combination of “seatbelt use + motorcycle helmet use + speed limits + random breath testing” the most cost-effective package.
Source:
Ralaidovy AH, Bachani AM, Lauer JA et al. Cost-Effectiveness of Strategies to Prevent Road Traffic Injuries in Eastern Sub-Saharan Africa and Southeast Asia: New Results from WHO-CHOICE. Cost Effectiveness and Resource Allocation 2018; 16 (59). https://doi.org/10.1186/s12962-018-0161-4