Economic Evaluation of Environmental Health Interventions to Support Decision Making

Environmental burden of disease represents one quarter of overall disease burden, hence necessitating greater attention from decision makers both inside and outside the health sector. Economic evaluation techniques such as cost- effectiveness analysis and cost-benefit analysis provide key informatio...

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Main Author: Guy Hutton
Format: Article
Language:English
Published: SAGE Publishing 2008-01-01
Series:Environmental Health Insights
Subjects:
Online Access:http://www.la-press.com/economic-evaluation-of-environmental-health-interventions-to-support-d-a1309
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author Guy Hutton
author_facet Guy Hutton
author_sort Guy Hutton
collection DOAJ
description Environmental burden of disease represents one quarter of overall disease burden, hence necessitating greater attention from decision makers both inside and outside the health sector. Economic evaluation techniques such as cost- effectiveness analysis and cost-benefit analysis provide key information to health decision makers on the efficiency of environmental health interventions, assisting them in choosing interventions which give the greatest social return on limited public budgets and private resources. The aim of this article is to review economic evaluation studies in three environmental health areas—water, sanitation, hygiene (WSH), vector control, and air pollution—and to critically examine the policy relevance and scientific quality of the studies for selecting and funding public programmers. A keyword search of Medline from 1990–2008 revealed 32 studies, and gathering of articles from other sources revealed a further 18 studies, giving a total of 50 economic evaluation studies (13 WSH interventions, 16 vector control and 21 air pollution). Overall, the economic evidence base on environmental health interventions remains relatively weak—too few studies per intervention, of variable scientific quality and from diverse locations which limits generalisability of findings. Importantly, there still exists a disconnect between economic research, decision making and programmer implementation. This can be explained by the lack of translation of research findings into accessible documentation for policy makers and limited relevance of research findings, and the often low importance of economic evidence in budgeting decisions. These findings underline the importance of involving policy makers in the defining of research agendas and commissioning of research, and improving the awareness of researchers of the policy environment into which their research feeds.
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spelling doaj.art-b80175d3d8d742a6a88cb5427d0514ff2022-12-22T00:54:00ZengSAGE PublishingEnvironmental Health Insights1178-63022008-01-012Programmatic Aspects137155Economic Evaluation of Environmental Health Interventions to Support Decision MakingGuy HuttonEnvironmental burden of disease represents one quarter of overall disease burden, hence necessitating greater attention from decision makers both inside and outside the health sector. Economic evaluation techniques such as cost- effectiveness analysis and cost-benefit analysis provide key information to health decision makers on the efficiency of environmental health interventions, assisting them in choosing interventions which give the greatest social return on limited public budgets and private resources. The aim of this article is to review economic evaluation studies in three environmental health areas—water, sanitation, hygiene (WSH), vector control, and air pollution—and to critically examine the policy relevance and scientific quality of the studies for selecting and funding public programmers. A keyword search of Medline from 1990–2008 revealed 32 studies, and gathering of articles from other sources revealed a further 18 studies, giving a total of 50 economic evaluation studies (13 WSH interventions, 16 vector control and 21 air pollution). Overall, the economic evidence base on environmental health interventions remains relatively weak—too few studies per intervention, of variable scientific quality and from diverse locations which limits generalisability of findings. Importantly, there still exists a disconnect between economic research, decision making and programmer implementation. This can be explained by the lack of translation of research findings into accessible documentation for policy makers and limited relevance of research findings, and the often low importance of economic evidence in budgeting decisions. These findings underline the importance of involving policy makers in the defining of research agendas and commissioning of research, and improving the awareness of researchers of the policy environment into which their research feeds.http://www.la-press.com/economic-evaluation-of-environmental-health-interventions-to-support-d-a1309economic evaluationcost-benefit analysiscost-effectiveness analysisenvironmental health interventionsdecision makingwatersanitationhygiene vector controlair pollution
spellingShingle Guy Hutton
Economic Evaluation of Environmental Health Interventions to Support Decision Making
Environmental Health Insights
economic evaluation
cost-benefit analysis
cost-effectiveness analysis
environmental health interventions
decision making
water
sanitation
hygiene vector control
air pollution
title Economic Evaluation of Environmental Health Interventions to Support Decision Making
title_full Economic Evaluation of Environmental Health Interventions to Support Decision Making
title_fullStr Economic Evaluation of Environmental Health Interventions to Support Decision Making
title_full_unstemmed Economic Evaluation of Environmental Health Interventions to Support Decision Making
title_short Economic Evaluation of Environmental Health Interventions to Support Decision Making
title_sort economic evaluation of environmental health interventions to support decision making
topic economic evaluation
cost-benefit analysis
cost-effectiveness analysis
environmental health interventions
decision making
water
sanitation
hygiene vector control
air pollution
url http://www.la-press.com/economic-evaluation-of-environmental-health-interventions-to-support-d-a1309
work_keys_str_mv AT guyhutton economicevaluationofenvironmentalhealthinterventionstosupportdecisionmaking