Supporting the revision of the health benefits package in Uganda: a constrained optimisation approach

Sakshi Mohan; Simon Mark Walker; Freddie Sengooba; Elizabeth Ekirapa Kiracho; Chrispus Mayora; Aloysius Ssenyonjo; Candia Tom Aliti; Paul Revill

doi:10.1101/2022.05.04.22274650

Supporting the revision of the health benefits package in Uganda: a constrained optimisation approach

Sakshi Mohan, Simon Mark Walker, Freddie Sengooba, Elizabeth Ekirapa Kiracho, Chrispus Mayora, Aloysius Ssenyonjo, Candia Tom Aliti, Paul Revill

Centre for Health Economics

Research output: Working paper › Preprint

Abstract

This study demonstrates how the linear constrained optimization approach can be used to design a health benefits package (HBP) which maximises the net disability adjusted life years (DALYs) averted given the health system constraints faced by a country, and how the approach can help assess the marginal value of relaxing health system constraints. In the analysis performed for Uganda, 58 interventions were included in the HBP in the base scenario, resulting in a total of 49.9 million net DALYs averted. When task shifting of pharmacists’ and nutrition officers’ tasks to nurses is allowed, 68 interventions were included in the HBP resulting in a total of 53.8 million net DALYs averted (a 7.8% increase). Further, investing only $39 towards hiring additional nutrition officers’ time could avert one net DALY; this increased to $55, $56, and $123 for nurses, pharmacists and doctors respectively, and $971 for expanding the consumable budget.

Original language	English
Publisher	medRxiv
DOIs	https://doi.org/10.1101/2022.05.04.22274650
Publication status	Published - 7 May 2022

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10.1101/2022.05.04.22274650

Cite this

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abstract = "This study demonstrates how the linear constrained optimization approach can be used to design a health benefits package (HBP) which maximises the net disability adjusted life years (DALYs) averted given the health system constraints faced by a country, and how the approach can help assess the marginal value of relaxing health system constraints. In the analysis performed for Uganda, 58 interventions were included in the HBP in the base scenario, resulting in a total of 49.9 million net DALYs averted. When task shifting of pharmacists{\textquoteright} and nutrition officers{\textquoteright} tasks to nurses is allowed, 68 interventions were included in the HBP resulting in a total of 53.8 million net DALYs averted (a 7.8% increase). Further, investing only $39 towards hiring additional nutrition officers{\textquoteright} time could avert one net DALY; this increased to $55, $56, and $123 for nurses, pharmacists and doctors respectively, and $971 for expanding the consumable budget.",

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