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An implicit price of a DALY for use in a cost-benefit analysis of ARVs

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  • Robert Brent

Abstract

This article uses the revealed preference approach to estimate the price for a Disability Adjusted Life Year (DALY) implied by grant decisions by the Global Fund for AIDS, tuberculosis (TB) and malaria (GFATM). A cost-benefit criterion is used that requires the DALY price exceed the cost-effectiveness ratio. The estimated price was $6300 for a DALY saved from any disease, but it was $11 900 from a DALY saved specifically from HIV/AIDS. Estimates of the cost-effectiveness ratios of Antiretroviral Drug Therapies (ARVs) in the literature were examined. At the DALY prices implicit by GFATM decisions, ARVs would be socially worthwhile.

Suggested Citation

  • Robert Brent, 2011. "An implicit price of a DALY for use in a cost-benefit analysis of ARVs," Applied Economics, Taylor & Francis Journals, vol. 43(11), pages 1413-1421.
    • Handle: RePEc:taf:applec:v:43:y:2011:i:11:p:1413-1421
    DOI: 10.1080/00036840802600475
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    1. Robert J. Brent, 2003. "Cost–Benefit Analysis and Health Care Evaluations," Books, Edward Elgar Publishing, number 2555.
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    Cited by:

    1. Fernando Lavadenz & Carla Pantanali & Eliana Zeballos, 2015. "Thirty Years of the HIV/AIDS Epidemic in Argentina," World Bank Publications - Books, The World Bank Group, number 22124.
    2. Alberto Chong & Marco Gonzalez-Navarro & Dean Karlan & Martín Valdivia, 2020. "Do Information Technologies Improve Teenagers’ Sexual Education? Evidence from a Randomized Evaluation in Colombia," The World Bank Economic Review, World Bank, vol. 34(2), pages 371-392.
    3. Stein, Alexander J., 2013. "Rethinking the measurement of undernutrition in a broader health context: Should we look at possible causes or actual effects:," IFPRI discussion papers 1298, International Food Policy Research Institute (IFPRI).
    4. N. Shamsi Gamchi & M. Esmaeili, 2023. "A novel mathematical model for prioritization of individuals to receive vaccine considering governmental health protocols," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 24(4), pages 633-646, June.
    5. Nafiseh Shamsi Gamchi & S. Ali Torabi & Fariborz Jolai, 2021. "A novel vehicle routing problem for vaccine distribution using SIR epidemic model," OR Spectrum: Quantitative Approaches in Management, Springer;Gesellschaft für Operations Research e.V., vol. 43(1), pages 155-188, March.
    6. Robert J. Brent, 2010. "Setting Priorities for HIV/AIDS Interventions," Books, Edward Elgar Publishing, number 12742.
    7. Robert J. Brent, 2012. "The Effects Of Hiv Medications On The Quality Of Life Of Older Adults In New York City," Health Economics, John Wiley & Sons, Ltd., vol. 21(8), pages 967-976, August.
    8. Robert J. Brent, 2023. "Cost-Benefit Analysis versus Cost-Effectiveness Analysis from a Societal Perspective in Healthcare," IJERPH, MDPI, vol. 20(5), pages 1-12, March.
    9. Brent, Robert J., 2016. "The value of reducing HIV stigma," Social Science & Medicine, Elsevier, vol. 151(C), pages 233-240.

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