A systematic review of scope and quality of health economic evaluations conducted in Ethiopia
Files
(Published version)
Date
2022
Authors
Erku, D.
Mersha, A.G.
Ali, E.E.
Gebretekle, G.B.
Wubishet, B.L.
Kassie, G.M.
Mulugeta, A.
Mekonnen, A.B.
Eshetie, T.C.
Scuffham, P.
Editors
Advisors
Journal Title
Journal ISSN
Volume Title
Type:
Journal article
Citation
Health Policy and Planning, 2022; 37(4):514-522
Statement of Responsibility
Conference Name
Abstract
There has been an increased interest in health technology assessment and economic evaluations for health policy in Ethiopia over the last few years. In this systematic review, we examined the scope and quality of healthcare economic evaluation studies in Ethiopia. We searched seven electronic databases (PubMed/MEDLINE, EMBASE, PsycINFO, CINHAL, Econlit, York CRD databases and CEA Tufts) from inception to May 2021 to identify published full health economic evaluations of a health-related intervention or programme in Ethiopia. This was supplemented with forward and backward citation searches of included articles, manual search of key government websites, the Disease Control Priorities-Ethiopia project and WHO-CHOICE programme. The quality of reporting of economic evaluations was assessed using the Consolidated Health Economic Evaluation Reporting Standards (CHEERS) checklist.
The extracted data were grouped into subcategories based on the subject of the economic evaluation, organized into tables and reported narratively. This review identified 34 full economic evaluations conducted between 2009 and 2021. Around 14 (41%) of studies focussed on health service delivery, 8 (24%) on pharmaceuticals, vaccines and devices, and 4 (12%) on public-health programmes. The interventions were mostly preventive in nature and focussed on communicable diseases (n = 19; 56%) and maternal and child health (n = 6; 18%). Cost-effectiveness ratios varied widely from cost-saving to more than US $37 313 per life saved depending on the setting, perspectives, types of interventions and disease conditions. While the overall quality of included studies was judged as moderate (meeting 69% of CHEERS checklist), only four out of 27 cost-effectiveness studies characterized heterogeneity. There is a need for building local technical capacity to enhance the design, conduct and reporting of health economic evaluations in Ethiopia.
School/Discipline
Dissertation Note
Provenance
Description
Data source: Supplementary data, https://academic.oup.com/heapol/article/37/4/514/6533426#supplementary-data
Access Status
Rights
Copyright 2022 The Author(s) 2022. Published by Oxford University Press in association with The London School of Hygiene and Tropical Medicine. (https://creativecommons.org/licenses/by/4.0/)
Access Condition Notes: This is an open access article distributed under the terms of the Creative Commons CC BY license