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. 2023 Dec 14;29:100651. doi: 10.1016/j.lana.2023.100651

Table 4.

Incremental cost-effectiveness ratios for each scenario.

Scenario Societal perspectivea
Health system perspective
Patient perspectivea
Incremental cost per DALY averted Incremental cost per death averted Incremental cost per DALY averted Incremental cost per death averted Incremental cost per DALY averted Incremental cost per death averted
Status quo Reference Reference Reference Reference Reference Reference
Hospital scale up (without demand shift) −$2154 −$69,932 $460 $14,947 −$2614 −$84,878
CHC scale up (without demand shift) −$2307 −$74,101 $308 $9888 −$2614 −$83,989
Hospital and CHC scale up (without demand shift) −$2286 −$73,492 $328 $10,544 −$2614 −$84,036
Hospital scale up (with demand shift) −$2185 −$70,118 $417 $13,386 −$2602 −$83,504
CHC scale up (with demand shift) −$2312 −$74,257 $301 $9674 −$2614 −$83,932
Hospital and CHC scale up (with demand shift) −$2291 −$73,643 $323 $10,379 −$2614 −$84,022
a

A negative sign indicates that economic costs decreased as a result of antivenom scale-up. Negative values therefore reflect net economic benefits per DALY/death averted.