TY - JOUR
T1 - A systematic review of economic evaluations of health and health-related interventions in Bangladesh
AU - Hoque, Mohammad E.
AU - Khan, Jahangir A.M.
AU - Hossain, Shahed S.A.
AU - Gazi, Rukhsana
AU - Rashid, Harun Ar
AU - Koehlmoos, Tracey P.
AU - Walker, Damian G.
N1 - Funding Information:
Out of the twelve articles, eight articles revealed their funding sources. Of these eight articles, two were supported by the Bill and Melinda Gates Foundation and two by the World Bank. Sources of funding for other three studies are Save the Children - UK, USAID, Sasa-kawa Health Science Foundation, and DFID. Only one study was supported partially by a domestic funding agency, BRAC.
Funding Information:
This research protocol/activity/study was funded by ICDDR,B and its donors which provide unrestricted support to ICDDR,B for its operations and research. Current donors providing unrestricted support include: Government of the People’s Republic of Bangladesh; Canadian International Development Agency (CIDA), Embassy of the Kingdom of the Netherlands (EKN), Swedish International Development Cooperation Agency (Sida), and the Department for International Development, UK (DFID). We gratefully acknowledge these donors for their support and commitment to ICDDR,B’s research efforts and activities. We are grateful to the Bangladesh Medical Research Council for the support and cooperation. We are also grateful to Nadia Israt Alamgir for support during the initial stage of the study and Mohammad Abidur Rahman for his help in retrieval of full text.
PY - 2011/7/20
Y1 - 2011/7/20
N2 - Background: Economic evaluation is used for effective resource allocation in health sector. Accumulated knowledge about economic evaluation of health programs in Bangladesh is not currently available. While a number of economic evaluation studies have been performed in Bangladesh, no systematic investigation of the studies has been done to our knowledge. The aim of this current study is to systematically review the published articles in peer-reviewed journals on economic evaluation of health and health-related interventions in Bangladesh.Methods: Literature searches was carried out during November-December 2008 with a combination of key words, MeSH terms and other free text terms as suitable for the purpose. A comprehensive search strategy was developed to search Medline by the PubMed interface. The first specific interest was mapping the articles considering the areas of exploration by economic evaluation and the second interest was to scrutiny the methodological quality of studies. The methodological quality of economic evaluation of all articles has been scrutinized against the checklist developed by Evers Silvia and associates.Result: Of 1784 potential articles 12 were accepted for inclusion. Ten studies described the competing alternatives clearly and only two articles stated the perspective of their articles clearly. All studies included direct cost, incurred by the providers. Only one study included the cost of community donated resources and volunteer costs. Two studies calculated the incremental cost effectiveness ratio (ICER). Six of the studies applied some sort of sensitivity analysis. Two of the studies discussed financial affordability of expected implementers and four studies discussed the issue of generalizability for application in different context.Conclusion: Very few economic evaluation studies in Bangladesh are found in different areas of health and health-related interventions, which does not provide a strong basis of knowledge in the area. The most frequently applied economic evaluation is cost-effectiveness analysis. The majority of the studies did not follow the scientific method of economic evaluation process, which consequently resulted into lack of robustness of the analyses. Capacity building on economic evaluation of health and health-related programs should be enhanced.
AB - Background: Economic evaluation is used for effective resource allocation in health sector. Accumulated knowledge about economic evaluation of health programs in Bangladesh is not currently available. While a number of economic evaluation studies have been performed in Bangladesh, no systematic investigation of the studies has been done to our knowledge. The aim of this current study is to systematically review the published articles in peer-reviewed journals on economic evaluation of health and health-related interventions in Bangladesh.Methods: Literature searches was carried out during November-December 2008 with a combination of key words, MeSH terms and other free text terms as suitable for the purpose. A comprehensive search strategy was developed to search Medline by the PubMed interface. The first specific interest was mapping the articles considering the areas of exploration by economic evaluation and the second interest was to scrutiny the methodological quality of studies. The methodological quality of economic evaluation of all articles has been scrutinized against the checklist developed by Evers Silvia and associates.Result: Of 1784 potential articles 12 were accepted for inclusion. Ten studies described the competing alternatives clearly and only two articles stated the perspective of their articles clearly. All studies included direct cost, incurred by the providers. Only one study included the cost of community donated resources and volunteer costs. Two studies calculated the incremental cost effectiveness ratio (ICER). Six of the studies applied some sort of sensitivity analysis. Two of the studies discussed financial affordability of expected implementers and four studies discussed the issue of generalizability for application in different context.Conclusion: Very few economic evaluation studies in Bangladesh are found in different areas of health and health-related interventions, which does not provide a strong basis of knowledge in the area. The most frequently applied economic evaluation is cost-effectiveness analysis. The majority of the studies did not follow the scientific method of economic evaluation process, which consequently resulted into lack of robustness of the analyses. Capacity building on economic evaluation of health and health-related programs should be enhanced.
UR - http://www.scopus.com/inward/record.url?scp=84860390498&partnerID=8YFLogxK
U2 - 10.1186/1478-7547-9-12
DO - 10.1186/1478-7547-9-12
M3 - Review article
AN - SCOPUS:84860390498
SN - 1478-7547
VL - 9
JO - Cost Effectiveness and Resource Allocation
JF - Cost Effectiveness and Resource Allocation
M1 - 12
ER -