IDEAS home Printed from https://ideas.repec.org/a/gam/jijerp/v8y2011i5p1271-1286d12156.html
   My bibliography  Save this article

A Cost-Effectiveness Analysis of India’s 2008 Prohibition of Smoking in Public Places in Gujarat

Author

Listed:
  • Elisabeth A. Donaldson

    (Institute for Global Tobacco Control, Johns Hopkins Bloomberg School of Public Health, 627 N. Washington Street, 2nd Floor, Baltimore, MD 21205, USA)

  • Hugh R. Waters

    (Rand Corporation, 1776 Main Street, Room 4369, Santa Monica, CA 90401, USA)

  • Monika Arora

    (Public Health Foundation of India, Second Floor, 4/2, Sirifort Institutional Area, August Kranti Marg, New Delhi, 110016, India)

  • Beena Varghese

    (Public Health Foundation of India, Second Floor, 4/2, Sirifort Institutional Area, August Kranti Marg, New Delhi, 110016, India)

  • Paresh Dave

    (State Tobacco Control Cell, Department of Health & Family Welfare, Government of Gujarat, 3rd Floor, Block No. 5/2, Dr. Jivraj Mehta Bhavan, Sector No. 10, Gandhinagar-Gujarat 382010, India)

  • Bhavesh Modi

    (State Tobacco Control Cell, Department of Health & Family Welfare, Government of Gujarat, 3rd Floor, Block No. 5/2, Dr. Jivraj Mehta Bhavan, Sector No. 10, Gandhinagar-Gujarat 382010, India)

Abstract

Tobacco smoking and exposure to secondhand tobacco smoke are associated with disability and premature mortality in low and middle-income countries. The aim of this study was to assess the cost-effectiveness of implementing India’s Prohibition of Smoking in Public Places Rules in the state of Gujarat, compared to implementation of a complete smoking ban. Using standard cost-effectiveness analysis methods, the cost of implementing the alternatives was evaluated against the years of life saved and cases of acute myocardial infarction averted by reductions in smoking prevalence and secondhand smoke exposure. After one year, it is estimated that a complete smoking ban in Gujarat would avert 17,000 additional heart attacks and gain 438,000 life years (LY). A complete ban is highly cost-effective when key variables including legislation effectiveness were varied in the sensitivity analyses. Without including medical treatment costs averted, the cost-effectiveness ratio ranges from $2 to $112 per LY gained and $37 to $386 per acute myocardial infarction averted. Implementing a complete smoking ban would be a cost saving alternative to the current partial legislation in terms of reducing tobacco-attributable disease in Gujarat.

Suggested Citation

  • Elisabeth A. Donaldson & Hugh R. Waters & Monika Arora & Beena Varghese & Paresh Dave & Bhavesh Modi, 2011. "A Cost-Effectiveness Analysis of India’s 2008 Prohibition of Smoking in Public Places in Gujarat," IJERPH, MDPI, vol. 8(5), pages 1-16, April.
    • Handle: RePEc:gam:jijerp:v:8:y:2011:i:5:p:1271-1286:d:12156
    as

    Download full text from publisher

    File URL: https://www.mdpi.com/1660-4601/8/5/1271/pdf
    Download Restriction: no
    File URL: https://www.mdpi.com/1660-4601/8/5/1271/
    Download Restriction: no
    ---><---

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:gam:jijerp:v:8:y:2011:i:5:p:1271-1286:d:12156. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    We have no bibliographic references for this item. You can help adding them by using this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: MDPI Indexing Manager (email available below). General contact details of provider: https://www.mdpi.com .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.