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Cost-Effectiveness Analysis of Education and Health Interventions in Developing Countries

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  • Patrick J. McEwan

Abstract

High-quality impact evaluations, including randomized experiments, are increasingly popular, but cannot always inform resource allocation decisions unless the costs of interventions are considered alongside their effects. Cost-effectiveness analysis is a straightforward but under-utilized tool for determining which, of two or more interventions provides a (non-pecuniary) unit of effect at least cost. This paper reviews the framework and methods of cost-effectiveness analysis,emphasizing education and health interventions, and discusses how the methods are applied in the literature.

Suggested Citation

  • Patrick J. McEwan, 2011. "Cost-Effectiveness Analysis of Education and Health Interventions in Developing Countries," SPD Working Papers 1102, Inter-American Development Bank, Office of Strategic Planning and Development Effectiveness (SPD).
  • Handle: RePEc:idb:spdwps:1102
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    1. Caldes, Natalia & Coady, David & Maluccio, John A., 2006. "The cost of poverty alleviation transfer programs: A comparative analysis of three programs in Latin America," World Development, Elsevier, vol. 34(5), pages 818-837, May.
    2. World Bank, 2008. "Global Purchasing Power Parities and Real Expenditures : 2005 International Comparison Program," World Bank Publications - Books, The World Bank Group, number 21558.
    3. Drummond, Michael F. & Sculpher, Mark J. & Torrance, George W. & O'Brien, Bernie J. & Stoddart, Greg L., 2005. "Methods for the Economic Evaluation of Health Care Programmes," OUP Catalogue, Oxford University Press, edition 3, number 9780198529453.
    4. Abhijit V. Banerjee & Shawn Cole & Esther Duflo & Leigh Linden, 2007. "Remedying Education: Evidence from Two Randomized Experiments in India," The Quarterly Journal of Economics, President and Fellows of Harvard College, vol. 122(3), pages 1235-1264.
    5. David S. Lee & Thomas Lemieux, 2010. "Regression Discontinuity Designs in Economics," Journal of Economic Literature, American Economic Association, vol. 48(2), pages 281-355, June.
    6. Angrist, Joshua D. & Krueger, Alan B., 1999. "Empirical strategies in labor economics," Handbook of Labor Economics, in: O. Ashenfelter & D. Card (ed.), Handbook of Labor Economics, edition 1, volume 3, chapter 23, pages 1277-1366, Elsevier.
    7. Dean T. Jamison & Joel G. Breman & Anthony R. Measham & George Alleyne & Mariam Claeson & David B. Evans & Prabhat Jha & Ann Mills & Philip Musgrove, 2006. "Disease Control Priorities in Developing Countries, Second Edition," World Bank Publications - Books, The World Bank Group, number 7242.
    8. Michael Kremer & Edward Miguel & Rebecca Thornton, 2009. "Incentives to Learn," The Review of Economics and Statistics, MIT Press, vol. 91(3), pages 437-456, August.
    9. Vermeersch, Christel & Kremer, Michael, 2005. "Schools meals, educational achievement and school competition: evidence from a randomized evaluation," Policy Research Working Paper Series 3523, The World Bank.
    10. Alix Peterson Zwane & Michael Kremer, 2007. "What Works in Fighting Diarrheal Diseases in Developing Countries? A Critical Review," CID Working Papers 140, Center for International Development at Harvard University.
    11. Kenneth Y. Chay & Patrick J. McEwan & Miguel Urquiola, 2005. "The Central Role of Noise in Evaluating Interventions That Use Test Scores to Rank Schools," American Economic Review, American Economic Association, vol. 95(4), pages 1237-1258, September.
    12. Paul Glewwe & Nauman Ilias & Michael Kremer, 2010. "Teacher Incentives," American Economic Journal: Applied Economics, American Economic Association, vol. 2(3), pages 205-227, July.
    13. David Canning, 2006. "The Economics of HIV/AIDS in Low-Income Countries: The Case for Prevention," Journal of Economic Perspectives, American Economic Association, vol. 20(3), pages 121-142, Summer.
    14. Phillip B. Levine & David J. Zimmerman, 2010. "Targeting Investments in Children: Fighting Poverty When Resources Are Limited," NBER Books, National Bureau of Economic Research, Inc, number levi09-1.
    15. Phillip B. Levine & David J. Zimmerman, 2010. "Introduction to "Targeting Investments in Children: Fighting Poverty When Resources are Limited"," NBER Chapters, in: Targeting Investments in Children: Fighting Poverty When Resources Are Limited, pages 3-11, National Bureau of Economic Research, Inc.
    16. Miguel Urquiola, 2006. "Identifying Class Size Effects in Developing Countries: Evidence from Rural Bolivia," The Review of Economics and Statistics, MIT Press, vol. 88(1), pages 171-177, February.
    17. Levine, Phillip B. & Zimmerman, David J. (ed.), 2010. "Targeting Investments in Children," National Bureau of Economic Research Books, University of Chicago Press, number 9780226475813.
    18. Duflo, Esther & Glennerster, Rachel & Kremer, Michael, 2008. "Using Randomization in Development Economics Research: A Toolkit," Handbook of Development Economics, in: T. Paul Schultz & John A. Strauss (ed.), Handbook of Development Economics, edition 1, volume 4, chapter 61, pages 3895-3962, Elsevier.
    19. Glewwe, Paul & Kremer, Michael & Moulin, Sylvie & Zitzewitz, Eric, 2004. "Retrospective vs. prospective analyses of school inputs: the case of flip charts in Kenya," Journal of Development Economics, Elsevier, vol. 74(1), pages 251-268, June.
    20. Ariel Fiszbein & Norbert Schady & Francisco H.G. Ferreira & Margaret Grosh & Niall Keleher & Pedro Olinto & Emmanuel Skoufias, 2009. "Conditional Cash Transfers : Reducing Present and Future Poverty," World Bank Publications - Books, The World Bank Group, number 2597.
    21. David K. Evans & Arkadipta Ghosh, 2008. "Prioritizing Educational Investments in Children in the Developing World," Working Papers 587, RAND Corporation.
    22. Christopher Jepsen & Steven Rivkin, 2009. "Class Size Reduction and Student Achievement: The Potential Tradeoff between Teacher Quality and Class Size," Journal of Human Resources, University of Wisconsin Press, vol. 44(1).
    23. Bouillon, César P. & Tejerina, Luis, 2006. "Do We Know What Works?: A Systematic Review of Impact Evaluations of Social Programs in Latin America and the Caribbean," IDB Publications (Working Papers) 2801, Inter-American Development Bank.
    24. Guido W. Imbens & Jeffrey M. Wooldridge, 2009. "Recent Developments in the Econometrics of Program Evaluation," Journal of Economic Literature, American Economic Association, vol. 47(1), pages 5-86, March.
    25. Urquiola, Miguel, 2001. "Identifying class size effects in developing countries : evidence from rural schools in Bolivia," Policy Research Working Paper Series 2711, The World Bank.
    26. Paul Glewwe & Sylvie Lambert, 2010. "Education Production Functions: Evidence from Developing Countries," PSE-Ecole d'économie de Paris (Postprint) halshs-00754792, HAL.
    27. Michael Kremer & Sylvie Moulin & Robert Namunyu, 2003. "Decentralization: A cautionary tale," Natural Field Experiments 00290, The Field Experiments Website.
    28. Emmanuel Jimenez & Harry Anthony Patrinos, 2009. "Can Cost–Benefit Analysis Guide Education Policy in Developing Countries?," Chapters, in: Robert J. Brent (ed.), Handbook of Research on Cost–Benefit Analysis, chapter 4, Edward Elgar Publishing.
    29. Jimenez, Emmanuel & Sawada, Yasuyuki, 1999. "Do Community-Managed Schools Work? An Evaluation of El Salvador's EDUCO Program," The World Bank Economic Review, World Bank, vol. 13(3), pages 415-441, September.
    30. Laura B. Rawlings, 2005. "Evaluating the Impact of Conditional Cash Transfer Programs," The World Bank Research Observer, World Bank, vol. 20(1), pages 29-55.
    31. World Bank, 2010. "Cost-Benefit Analysis in World Bank Projects," World Bank Publications - Reports 10481, The World Bank Group.
    32. Edward Miguel & Michael Kremer, 2004. "Worms: Identifying Impacts on Education and Health in the Presence of Treatment Externalities," Econometrica, Econometric Society, vol. 72(1), pages 159-217, January.
    33. Karthik Muralidharan & Venkatesh Sundararaman, 2011. "Teacher Performance Pay: Experimental Evidence from India," Journal of Political Economy, University of Chicago Press, vol. 119(1), pages 39-77.
    34. Henry M. Levin & Gene V. Glass & Gail R. Meister, 1987. "Cost-Effectiveness of Computer-Assisted Instruction," Evaluation Review, , vol. 11(1), pages 50-72, February.
    35. Tan, Jee-Peng & Lane, Julia & Coustere, Paul, 1997. "Putting Inputs to Work in Elementary Schools: What Can Be Done in the Philippines?," Economic Development and Cultural Change, University of Chicago Press, vol. 45(4), pages 857-879, July.
    36. Bedi, Arjun S & Marshall, Jeffrey H, 1999. "School Attendance and Student Achievement: Evidence from Rural Honduras," Economic Development and Cultural Change, University of Chicago Press, vol. 47(3), pages 657-682, April.
    37. Paul Schultz, T., 2004. "School subsidies for the poor: evaluating the Mexican Progresa poverty program," Journal of Development Economics, Elsevier, vol. 74(1), pages 199-250, June.
    38. Alaka Holla & Michael Kremer, 2009. "Lessons from Randomized Evaluations in Education and Health," Working Papers 158, Center for Global Development.
    39. Greg J. Duncan & Jens Ludwig & Katherine A. Magnuson, 2010. "Child Development," NBER Chapters, in: Targeting Investments in Children: Fighting Poverty When Resources Are Limited, pages 27-58, National Bureau of Economic Research, Inc.
    40. Skoufias, Emmanuel, 2005. "PROGRESA and its impacts on the welfare of rural households in Mexico:," Research reports 139, International Food Policy Research Institute (IFPRI).
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    8. Ebert, Cara & Flörchinger, Daniela & Frohnweiler, Sarah & Ihring, Stephanie & Rosadio Cayllahua, Karen Micaela, 2021. "Employment and income effects of skills development interventions: An impact evaluation of three employment promotion measures in Eastern Africa within GIZ's employment and skills for development prog," RWI Projektberichte, RWI - Leibniz-Institut für Wirtschaftsforschung, number 251877, March.
    9. Muhammad Tahir Khan Farooqi & Hafiz Muhammad Ather Khan & Ghulam Qambar, 2018. "Cost Effectiveness of Teachers Working at Government and Private Colleges," Global Social Sciences Review, Humanity Only, vol. 3(2), pages 345-357, June.
    10. Evans, David K. & Popova, Anna, 2016. "Cost-Effectiveness Analysis in Development: Accounting for Local Costs and Noisy Impacts," World Development, Elsevier, vol. 77(C), pages 262-276.
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    12. Sean Sylvia & Xiaochen Ma & Yaojiang Shi & Scott Rozelle & C. -Y. Cynthia Lin Lawell, 2018. "Ordeal Mechanisms, Information, and the Cost-Effectiveness of Subsidies: Evidence from Subsidized Eyeglasses in Rural China," Papers 1812.00383, arXiv.org.
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    More about this item

    Keywords

    Cost-Effectiveness; Cost-Benefit; Impact Evaluation;
    All these keywords.

    JEL classification:

    • H43 - Public Economics - - Publicly Provided Goods - - - Project Evaluation; Social Discount Rate
    • I25 - Health, Education, and Welfare - - Education - - - Education and Economic Development

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