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. 2020 Mar 3;35(5):546–555. doi: 10.1093/heapol/czz152

Table 2.

Health opportunity costs and cost-effectiveness thresholds estimated using health spending elasticities for age-standardized crude death ratea

  Elasticityb Average CLE Deaths averted YLL Averted YLD Averted DALYs Averted
Age-standardised population average −0.223** 32.66 1047 34 177 5878 40 055

Cost-effectiveness threshold Cost per DALY averted Cost per YLL averted Cost per death averted      

ZAR 38 465.46 45 081.36 1 472 262.41      
USDc 3 014.77 3 533.30 115 340.56      
%GDP per capitad 53%      
a

A full list of data inputs used in estimating cost per DALYs/YLL/Deaths averted is presented in Table 1A of the Appendix.

b

Elasticity estimated using a fixed effect estimation approach for long panel data. Control variables include GDP per capita, HIV prevalence, medical aid coverage, primary healthcare and hospital service utilization rates, proportion of the population: living in urban areas, with a higher education, with access to safe drinking water and sanitation and proportion of female and male population over the age of 50 years.

c

USD-ZAR Exchange rate = ZAR 12.76/USD.

d

2015 GDP per capita = USD 5700.

**

p<0.05.

CLE = conditional life expectancy, YLL = years of life lost, YLD = years lived with disability, DALY = disability –adjusted life year.