Cost and Economics Kathy Fiekert, KNCV Tuberculosis Foundation - PowerPoint PPT Presentation

PCF4NSP Cost and Economics Kathy Fiekert, KNCV Tuberculosis Foundation

Intervention optimization “What makes most sense?” 4. Intervention 1. Problem 2. Root Cause 3. Intervention optimization Prioritization Analysis Identification People are in the health system, but not notified/ People don’t diagnosed make it to the What is the health system What contributes Which What are Optimize impact expected impact to the problem? are the biggest priority with available of these What does it look People with problems? solutions? resources like? solutions? TB are notified, but not cured Compare budget to best impact (epidemiological & economic)

Modelling to support prioritisation/optimisation Considerations for impact modelling: High Feasibility = - Validation/ robustness/ limitations? (avoid Feasibility • Affordable “Crystal Ball” effect) • Available - How to address complexity? • Acceptable 1 - Intervention packages vs interventions 7 • Realistic (Doable) - Strategies depending on available resources - Short-term vs long-term vision 4 - Intervention interdependency (A before B) 2 Low High Impact Impact 3 Cost-effectiveness: 6 5 - Is it worth the effort? - Short-term and long-term gains - ICERs - “Business case”…. - Costing vs economic evaluation! Low Feasibility

How much? How much does it cost? What is it worth? • long-term/ short-term • Micro-economic/ macro-economic

Aim: To create a national plan that is prioritized to reflect optimal allocative efficiency given at least 3 funding scenarios: 1) current / expected resource envelope, 2) +?% increase; and 3) fully funded Acceptable additional resource input vs worthwhile enhancement/ improvement of impact Which will enable: Fully Funded Plan Prioritized allocation of domestic budget Baseline + ?% Framework for allocation of sub-national budgets Current / Prioritized investment case expected resource NSP-based funding application to Global Fund envelope Expression of priorities for other donor funding and research activities 5

True cost Don’t ignore hidden and related costs and “knock - on effect”

Thank you for your attention! Contact details: Kathy Fiekert – kathy.fiekert@kncvtbc.org A world free from TB!