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. 2005 Feb;4(1):37–44.

Table 3.

Average cost-effectiveness of interventions at specified levels of coverage (I$ per DALY averted)

World Bank Region
Sub-Saharan Latin America Middle East Europe South East Asia
Africa & Caribbean & North Africa & Central Asia Asia & Pacific
Total population (million) 640 502 482 462 1,242 1,827
Coverage
Schizophrenia1
Older (neuroleptic) antipsychotic drug 80% 5,202 13,369 6,882 12,260 4,482 8,760
Newer antipsychotic drug 80% 18,497 26,199 19,594 25,693 17,991 22,010
Older antipsychotic drug + 80% 3,314 8,993 4,511 10,089 2,887 5,814
psychosocial treatment
Newer antipsychotic drug + 80% 11,669 17,352 12,562 20,627 11,354 14,281
psychosocial treatment

Bipolar disorder1
Older mood stabilising drug (lithium) 50% 3,025 8,706 6,122 8,051 3,302 6,103
Newer mood stabilising drug (valproate) 50% 4,829 10,074 6,935 9,620 4,422 7,230
Older mood stabilising drug + 50% 2,903 7,785 5,492 7,233 3,136 5,524
psychosocial treatment
Newer mood stabilising drug + 50% 4,520 8,988 6,222 8,607 4,147 6,530
psychosocial treatment

Depression
Episodic treatment: older 50% 1,026 2,219 1,193 2,178 924 1,469
antidepressant drug (TCA)
Episodic treatment: newer 50% 1,396 2,518 1,531 2,526 1,290 1,801
antidepressant drug (SSRI)
Episodic psychosocial treatment 50% 1,384 2,726 1,499 2,494 1,205 1,787
Episodic psychosocial treatment + 50% 1,416 2,595 1,487 2,421 1,256 1,738
older antidepressant
Episodic psychosocial treatment + 50% 1,819 2,982 1,866 2,860 1,641 2,125
newer antidepressant
Maintenance psychosocial treatment + 50% 1,706 2,935 1,721 2,589 1,547 1,968
older antidepressant
Maintenance psychosocial treatment + 50% 2,245 3,460 2,229 3,162 2,072 2,487
newer antidepressant

Panic disorder
Anxiolytic drug (benzodiazepine) 50% 1,277 1,853 1,237 1,748 997 1,332
Older antidepressant 50% 1,013 1,378 984 1,328 842 1,057
drug (TCA)
Newer antidepressant drug 50% 1,174 1,519 1,135 1,481 1,010 1,219
(SSRI; generic)
Psychosocial treatment (CBT) 50% 1,276 1,666 1,145 1,702 970 1,271
Older antidepressant + 50% 1,583 1,942 1,440 1,983 1,303 1,584
psychosocial treatment
Newer antidepressant + 50% 1,722 2,061 1,570 2,121 1,441 1,720
psychosocial treatment

Results for community-based service model presented here only (hospital-based service model not shown); CBT - cognitive behavioural therapy; DALYs - disability- adjusted life years; SSRI - selective serotonin reuptake inhibitor; TCA - tricyclic antidepressant