The George Institute for International Health, University of Sydney, Sydney, Australia.
Health Policy Plan. 2011 Sep;26(5):366-72. doi: 10.1093/heapol/czq071. Epub 2010 Oct 25.
Assess the cost-effectiveness of an intervention combining microfinance with gender and HIV training for the prevention of intimate partner violence (IPV) in South Africa.
We performed a cost-effectiveness analysis alongside a cluster-randomized trial. We assessed the cost-effectiveness of the intervention in both the trial and initial scale-up phase.
We estimated the cost per DALY gained as US$7688 for the trial phase and US$2307 for the initial scale-up. The findings were sensitive to the statistical uncertainty in effect estimates but otherwise robust to other key assumptions employed in the analysis.
The findings suggest that this combined economic and health intervention was cost-effective in its trial phase and highly cost-effective in scale-up. These estimates are probably conservative, as they do not include the health and development benefits of the intervention beyond IPV reduction.
评估在南非，将小额信贷与性别和艾滋病毒培训相结合干预措施预防亲密伴侣暴力（IPV）的成本效益。
我们在一项集群随机试验的同时进行了成本效益分析。我们在试验和初步扩大阶段评估了干预措施的成本效益。
我们估计试验阶段每获得一个 DALY 的成本为 7688 美元，初步扩大阶段为 2307 美元。这些发现对效果估计的统计不确定性敏感，但在分析中使用的其他关键假设方面是稳健的。
研究结果表明，这种结合经济和健康干预措施在试验阶段具有成本效益，在扩大阶段具有高度成本效益。这些估计可能是保守的，因为它们不包括干预措施在减少 IPV 之外对健康和发展的益处。
