Cost Effectiveness


Governments often face budget constraints that force them to make hard decisions about how best to invest funds for public health. They need a way to evaluate which investments will address the most pressing health problems and bring the greatest health gains. Sanigest assists governments and other institutions in identifying how to make the best decisions by using cost-effectiveness analysis. Cost-effectiveness analysis is an evaluation tool that allows policymakers and health planners to compare the health gains that various interventions can achieve with a given level of inputs.

Sanigest has undertaken cost-effectiveness analysis in several health related areas including:

  • Government’s health reforms
  • HIV/AIDS and STI programs
  • Hand washing and prevention programs
  • Health interventions within health care packages
  • Development of PPPs

When carrying out cost-effectiveness analysis, Sanigest’s team develops a clear methodologies that can vary depending on the needs and scope of the project.

Some projects in this area include:

Rationalization and effectiveness of health service supply

Sanigest was appointed by the World Bank to assist the Secretariat of Health of Brazil in developing robust diagnostic instruments to analyze supply and demand patterns with the aims of rationalizing and making more effective service supply in the health care sector. As part of a benchmarking exercise, the Sanigest team prepared a short background paper on experiences and lessons learned from hospital rationalization in Eastern Europe. Ultimately, Sanigest assisted health authorities in the metropolitan region of Campinas (State of São Paulo) in developing a program to rationalize and improve the effectiveness of service delivery.
Project Details

Bolivia: Study and Estimation of Gaps in Potosi

The objective of the consultancy is to carry out a study of baseline and estimation of gaps in the provision of maternal and child health services in three health networks on Potosi, Bolivia (Potosi Urban, Betanzos, Potosi, and part of Tupiza Bed) according to SAFCI policy, in order to identify and quantify the current state of infrastructure and equipment in health facilities, and to quantify the supply gap in accordance with standards established by the Ministry of Health and Sports.
Project Details

El Salvador: Tech Assistance in Health Service Management to the SIBASI’s

Professional Service Consulting for Technical Assistance in Health Service Management to the SIBASI’s of Morazán, Ciudad Barrios, and Santa Rosa de Lima

Sanigest played an integral role, on behalf of Luxembourg Agency for Development Cooperation, to develop technical capacities for budgetary planning, analysis, and execution, according to the local contexts, with the staff belonging to administrative areas and management committees at the SIBASI of Ciudad Barrios, Morazán, and Santa Rosa de Lima.

Project Details

Costa Rica: The Costs of Illness in Costa Rica: A Study

The study involved an appraisal of the epidemiological and demographic situation, as well as the health care service capabilities in the country. Likewise, the study entailed a review of institutional information and health policies, an analysis of information sources relating to practical applications, and the definition of adaptations required to facilitate effective measures. Moreover, Sanigest professionals estimated the costs of infirmity in years of lessened lifespan and years of disablement, as well as adapted an automation mechanism to estimate life curtailment and disability factors.
Project Details

Area Expert

James Cercone

Michal Pothuis

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