Cost effectiveness analysis of sanitation improvement in response to floods and storms in Central Vietnam
Independent thesis Advanced level (degree of Master (Two Years)), 10 credits / 15 HE creditsStudent thesis
Background: Vietnam is one of the most disaster-prone countries in the world with floods, storms, and drought being the most common types. Natural disasters cause tremendous impacts on human health, and children under 5 are the most vulnerable group. Sanitation improvement after natural disasters is essential to ensure basic human rights and prevent disease transmission. Although primary health care workers are the frontline in response to disaster-related diseases, there is no clear guideline on funding for sanitation programs. The study aimed to estimate the costs of sanitation improvement to respond to floods and storms in Central Vietnam, and evaluate cost effectiveness of these activities in preventing diarrhea and dengue in children under 5.
Methods: The costs of sanitation improvement were estimated from societal perspective comparing current practice and the ideal scenario. Activity based costing was applied to measure time and resource invested in each activity at three administrative levels. A disease specific decision tree model was used for cost effectiveness analysis.
Results: The costs of the current practice were lower than the costs of the ideal scenario. Cost per capita of the current practice was 23 USD, while the number of the ideal scenario was 28 USD. However, the ideal scenario was theoretically more cost effective than the current practice with cost per DALY averted being 224 USD compared with 499 USD. The variable that influenced cost effectiveness ratio the most was effectiveness of sanitation improvement in lowering prevalence of diarrhea due to floods and storms.
Conclusion: Sanitation improvement is a cost effective measurement to prevent disaster related diseases. The model showed that it was worthwhile to put more efforts in improving sanitation conditions in Vietnam.
Place, publisher, year, edition, pages
2016. , 44 p.
Centre for Public Health Report Series, ISSN 1651-341x ; 2016:29
Sanitation, floods, storms, Vietnam, Sanitation improvement
Public Health, Global Health, Social Medicine and Epidemiology
IdentifiersURN: urn:nbn:se:umu:diva-131625OAI: oai:DiVA.org:umu-131625DiVA: diva2:1075213
Hanoi University of Public Health (Vietnam) - Assoc. Prof. Hoang Van Minh
Master's Programme in Public Health
2016-05-24, Umeå Universitet, Umeå, 14:14 (English)
Rocklöv, Joacim, Associate ProfessorHoang Van, Minh, Associate Professor
Lindholm, Lars, Professor