Scenario

In a rural area of Guatemala, three groups of villages received different public health interventions. The Minister of Health wants to know which of these interventions was the most cost-effective for averting death among children who are 3 years of age and younger. Persons in the first group of villages were provided with both nutrition and healthcare services (NUTHC). Those in the second group of villages received nutrition services only (NUT) and those in the third group received healthcare only (HC). Analyze the table below and answer the following questions:

Intervention
Cost per death averted

Up to 3 years
Perinatal
(< 28 days of age)
Infants
(< 1 years of age)
1-3 years old

NUTHC
$160.30
$9.85
$40.35
$110.10

NUT
$131.20
$7.75
$38.40
$85.05

HC
$76.36
$14.15
$25.56
$35.65


Which intervention is the most cost-effective for averting infant death in these villages?
Do interventions have the same effect on all age groups according to the table data? Explain.
Why do you think one intervention is more cost effective in one age group than in another age group? Are there biological, social, and environmental risk factors that are different among these age groups that may explain these differences? Explain your answer.
If you were short on resources, what intervention would you chose?

1 answer

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