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