Table 2

Contextualised cost-effectiveness of a complete set of interventions—ranking of 13 maternal and child health, 19 mental and neurological and 29 cardiovascular interventions by their respective ICER

ConditionInterventionsAnnual cost (US$)*DALYs avertedICER
(US$/DALY)
Rank
Major depressive disorderOlder antidepressants (TCA)15 935 00024 300D
Newer antidepressants (SSRI)18 542 00029 10063617
Psychotherapy68 138 00029 100D
Older antidepressants (TCA) and psychotherapy69 632 00034 100D
Newer antidepressants (SSRI) and psychotherapy71 402 00040 6004621
Major depressive disorderMaintenance: Older antidepressants (TCA) and psychotherapy62 081 00058 900105418
Maintenance: Newer antidepressants (SSRI) and psychotherapy65 789 00062 200113519
SchizophreniaTypical antipsychotics23 639 0004900D
Atypical antipsychotics23 635 0006000D
Typical antipsychotics+psychosocial treatment25 058 0009000D
Atypical antipsychotics+psychosocial treatment26 252 00010 600246524
Case id+management: Typical antipsychotics and psychosocial treatment30 097 00011 100D
Case id+management: Atypical antipsychotics and psychosocial treatment31 290 00011 600521128
Bipolar affective disorderOlder mood stabiliser (Lithium)28 560 00017 600162722
Older mood stabiliser (Lithium) and psychosocial treatment33 045 00019 300251825
Newer mood stabiliser (Valproate)31 913 00018 600D
Newer mood stabiliser (Valproate) and psychosocial treatment36 418 00020 500281926
EpilepsyOlder antiepileptic treatment (Phenobarbital)30 874 00068 90044816
Newer antiepileptic treatment (Carbamazepine)67 170 00068 900HIGH31
Acute ischaemic heart diseaseACE inhibitor3 082 000300D
Beta-blocker3 084 000600D
ASA3 087 0001000D
Streptokinase3 662 0001200D
ASA+clopidogrel3 094 0001400D
ASA+streptokinase3 692 0002100D
ASA+streptokinase+ACE inhibitor+beta-blocker3 790 0002100D
ASA+streptokinase+ACE inhibitor3 700 0002400154421
Primary PCI10 755 0002700D
ASA+clopidogrel+PCI11 032 0004000452929
Post-acute IHDStatin3 552 000300D
Beta-blocker3 281 000500D
ACE inhibitor3 306 000500D
ASA+beta-blocker3 337 000700D
ASA+beta-blocker+statin3 659 0001000D
ASA+beta-blocker+statin+ACE inhibitor3 736 0001600240023
Acute ischaemic strokeASA3 282 00010052 10230
Post-acute strokeACE inhibitor3 730 000900D
ASA3 707 0001000D
ASA+statin4 414 0002400D
ASA+statin+ACE inhibitor4 518 0003300137620
Primary prevention of CVDIndividual cholesterol treatment((tot. chol.>6.2 mmol/L)6 059 0008800D
Individual cholesterol treatment (tot. chol. >5.7 mmol/L)13 778 00019 100D
Individual hypertension treatment (SBP>160 mm Hg)9 510 00098 900D
Combination drug treatment for absolute risk of CVD>35%9 315 000125 700745
Individual hypertension treatment (SBP >140 mm Hg)25 196 000125 700D
Combination drug treatment for absolute risk of CVD>25%12 753 000128 000D
Combination drug treatment for absolute risk of CVD>15%18 696 000153 90033314
Combination drug treatment for absolute risk of CVD>5%34 835 000190 40044215
Neonatal disordersNeonatal resuscitation (institutional)353 00054 70061
Neonatal disordersKangaroo mother care287 00036 70082
Neonatal disordersNewborn sepsis—Injectable antibiotics906 00052 100173
Maternal/neonatal disordersAntibiotics for pPRoM591 0008500694
Neonatal disordersAntenatal corticosteroids for preterm labour837 0008600986
Maternal disordersSafe abortion737 00068001087
Maternal/neonatal disordersManagement of pre-eclampsia and eclampsia519 00048001087
Neonatal disordersInduction of labour (beyond 41 weeks)393 00026001529
Maternal/neonatal disordersTetanus toxoid (pregnant women)2 688 00016 00016810
Maternal disordersMaternal sepsis case management1 151 000520022011
Maternal/neonatal disordersSyphilis detection and treatment (pregnant women)1 522 000680022412
Maternal/neonatal disordersActive management of the third stage of labour1 617 000660024413
Maternal/neonatal disordersCalcium supplementation4 949 0001600308127
  • *2018 US$.

  • ACE, angiotensin-converting enzyme; ASA, acetylsalisylic acid; CVD, cardiovascular disease; ICER, incremental cost-effectiveness rate; IHD, ischemic heart disease; PCI, percutaneous coronary intervention; pPRoM, preterm premature rupture of membrane; SBP, systolic blood pressure; SSRI, selective serotonin reuptake inhibitors; TCA, tricyclic antidepressants.