Cost effectiveness of basic medical interventions in the developing world

Vaccination programme

Figures provided are per DALY (2001 data).  I've highlighted up the areas I've thought of working in, both pre-medicine and now I'm in medicine (latest view in bold).

·        Vaccination (e.g. diphtheria, polio, pertussis, river blindness, measles & deworming) ($3-6)
·        Hygiene promotion against diarrhoeal disease ($5)

·        Emergency medical care by training first aiders ($6)

·        Identification/treatment/control of leishmaniasis (~$10)

·        Malaria bednet provision and residual spraying ($6-11)

·        Acute MI management with aspirin and beta-blockers ($14)

·        Malaria treatment ($19)

·        RTA reduction interventions, e.g. speed bumps, media campaigns, speed penalties ($21)

·        Clean cookstoves - swapping out for LPG (~$50)          

·        Child nutrition / breastfeeding advice ($42)

·        Water sector regulation for clean water supplies ($47)
·        Integrated child health management (~$70)

·        HIV/AIDS education; routine counselling/testing; condom distribution ($37/$47/$82)

·        Ante/postnatal midwifery and obstetric emergency care ($87)
·        BCG vaccination against TB (~$100)

·        Epilepsy (Phenobarbital) & CHF (ACE + beta blocker + diuretic) basic treatment (~$100)

·        Family planning / contraception ($117)

·        Trauma surgery ($136)

·        Basic sanitation provision ($141)

·        Emergency medical care by training ambulance service (~$150)

·        TB treatment (~$150)

·        Cataract surgery ($183)

·        Vaccination (e.g. Chagas, Flu, HepB, diphtheria, pertussis, tetanus) ($300)

·        Alcohol & tobacco disincentivisation ($300-1000)
·        Oral rehydration therapy package for diarrhoeal disease ($1,000)

Source: http://www.ncbi.nlm.nih.gov/books/NBK11784/