Supporting the revision of the health benefits package in Uganda: A constrained optimisation approach
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Date
2023-06
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Publisher
Wiley Periodicals Inc
Abstract
This study demonstrates how the linear constrained optimization approach can be
used to design a health benefits package (HBP) which maximises the net disability
adjusted life years (DALYs) averted given the health system constraints faced by a
country, and how the approach can help assess the marginal value of relaxing health
system constraints. In the analysis performed for Uganda, 45 interventions were
included in the HBP in the base scenario, resulting in a total of 26.7 million net
DALYs averted. When task shifting of pharmacists' and nutrition officers' tasks to
nurses is allowed, 73 interventions were included in the HBP resulting in a total of
32 million net DALYs averted (a 20% increase). Further, investing only $58 towards
hiring additional nutrition officers' time could avert one net DALY; this increased
to $60 and $64 for pharmacists and nurses respectively, and $100,000 for expanding
the consumable budget, since human resources present the main constraint to the
system
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Citation
Mohan, Sakshi, Simon Walker, Freddie Sengooba, et al. 'Supporting the Revision of the Health Benefits Package in Uganda: A Constrained Optimisation Approach', Health Economics, vol. 32/no. 6, (2023), pp. 1244-1255.