Table 6. Incremental cost–effectiveness ratios of three methods of health-care financing in the results-based financing programme, Zambia, April 2012 to June 2014.
Group comparisons | Incremental cost–effectiveness ratios, mid-point (lower-upper bounds) |
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Cost per life saved, quality unadjusted, US$ | Cost per QALY gained, quality unadjusted, US$ | Cost per life saved, quality adjusted, US$ | Cost per QALY gained, quality adjusted, US$ | |
Results-based financing versus input-based financing | 38 857 (32 744–52 351) | 1 642 (1 384–2 214) | 31 336 (26 983–40 853) | 1 324 (1 141–1 727) |
Results-based financing versus control | 23 666 (21 324–26 643) | 999 (900–1 126) | 19 161 (17 546–21 177) | 809 (741–895) |
Input-based financing versus control | 12 040 (9 943–15 663) | 508 (419–662) | 9 999 (8 232–12 081) | 413 (348–510) |
QALY: quality-adjusted life year; US$: United States dollars.
Notes: Results-based financing facilities received increased funding tied to performance on pre-agreed indicators; input-based financing facilities received increased funding not tied to performance; control facilities were under the usual funding system without additional financing in Zambia. The quality-adjusted results considered the impact of the programme on quality of care.