Economic evaluation of a combined microfinance and gender training intervention for the prevention of intimate partner violence in rural South Africa.


Jan, S; Ferrari, G; Watts, CH; Hargreaves, JR; Kim, JC; Phetla, G; Morison, LA; Porter, JD; Barnett, T; Pronyk, PM; (2011) Economic evaluation of a combined microfinance and gender training intervention for the prevention of intimate partner violence in rural South Africa. Health policy and planning, 26 (5). pp. 366-72. ISSN 0268-1080 DOI: https://doi.org/10.1093/heapol/czq071

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Abstract

OBJECTIVE: Assess the cost-effectiveness of an intervention combining microfinance with gender and HIV training for the prevention of intimate partner violence (IPV) in South Africa.<br/> METHODS: We performed a cost-effectiveness analysis alongside a cluster-randomized trial. We assessed the cost-effectiveness of the intervention in both the trial and initial scale-up phase.<br/> RESULTS: We estimated the cost per DALY gained as US$7688 for the trial phase and US$2307 for the initial scale-up. The findings were sensitive to the statistical uncertainty in effect estimates but otherwise robust to other key assumptions employed in the analysis.<br/> CONCLUSIONS: The findings suggest that this combined economic and health intervention was cost-effective in its trial phase and highly cost-effective in scale-up. These estimates are probably conservative, as they do not include the health and development benefits of the intervention beyond IPV reduction.<br/>

Item Type: Article
Faculty and Department: Faculty of Infectious and Tropical Diseases > Dept of Clinical Research
Faculty of Public Health and Policy > Dept of Global Health and Development
Faculty of Public Health and Policy > Dept of Social and Environmental Health Research
Research Centre: Centre for Evaluation
Gender Violence and Health Centre
Social and Mathematical Epidemiology (SaME)
Tropical Epidemiology Group
PubMed ID: 20974751
Web of Science ID: 294072400002
URI: http://researchonline.lshtm.ac.uk/id/eprint/2416

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