Greco Giulia, Knight Louise, Ssekadde Willington, Namy Sophie, Naker Dipak, Devries Karen
Department of Global Health and Development, London School of Hygiene and Tropical Medicine, London, UK.
School of Economics, Makerere University, Kampala, Uganda.
BMJ Glob Health. 2018 Apr 17;3(2):e000526. doi: 10.1136/bmjgh-2017-000526. eCollection 2018.
This paper presents the cost and cost-effectiveness of the Good School Toolkit (GST), a programme aimed at reducing physical violence perpetrated by school staff to students in Uganda.
The effectiveness of the Toolkit was tested with a cluster randomised controlled trial in 42 primary schools in Luwero District, Uganda. A full economic costing evaluation and cost-effectiveness analysis were conducted alongside the trial. Both financial and economic costs were collected retrospectively from the provider's perspective to estimate total and unit costs.
The total cost of setting up and running the Toolkit over the 18-month trial period is estimated at US$397 233, excluding process monitor (M&E) activities. The cost to run the intervention is US$7429 per school annually, or US$15 per primary school pupil annually, in the trial intervention schools. It is estimated that the intervention has averted 1620 cases of past-week physical violence during the 18-month implementation period. The total cost per case of violence averted is US$244, and the annual implementation cost is US$96 per case averted during the trial.
The GST is a cost-effective intervention for reducing violence against pupils in primary schools in Uganda. It compares favourably against other violence reduction interventions in the region.
本文介绍了“优质学校工具包”（GST）的成本及成本效益，该计划旨在减少乌干达学校工作人员对学生实施的身体暴力。
在乌干达卢韦罗区的42所小学，通过整群随机对照试验对该工具包的有效性进行了测试。在试验过程中进行了全面的经济成本核算评估和成本效益分析。从提供者的角度回顾性收集财务和经济成本，以估算总成本和单位成本。
在为期18个月的试验期内，建立和运行该工具包的总成本估计为397,233美元，不包括过程监测（监测与评价）活动。在试验干预学校中，实施该干预措施的成本为每所学校每年7429美元，或每名小学生每年15美元。据估计，在18个月的实施期内，该干预措施避免了1620起过去一周内发生的身体暴力事件。避免每起暴力事件的总成本为244美元，在试验期间，每年避免每起暴力事件的实施成本为96美元。
“优质学校工具包”是一项具有成本效益的干预措施，可减少乌干达小学针对学生的暴力行为。与该地区其他减少暴力的干预措施相比，它具有优势。
