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Table 5 Cost per DALY averted associated with low-cost high-priority interventions recommended for South Asia

From: Optimizing treatment for the prevention of pre-eclampsia/eclampsia in Nepal: is calcium supplementation during pregnancy cost-effective?

Low-cost high-priority interventions recommended for South Asia

Mean cost per DALY averted (USD)

Childhood immunization

$8.00 [47]

 Additional coverage of traditional Expanded Program on Immunization

Full course calcium supplementation (82.2%) with 67.3% compliance in addition to MgSO 4 (68.9%) in Nepal

$25.33

HIV/AIDS

$9–126 [47]

 Voluntary counseling and testing

 Peer-based programs targeting at-risk groups

 School-based interventions that disseminate information to students

 Prevention of mother-to-child-transmission with antiretroviral therapy

Surgical services and emergency care

$6–212 [47]

 Surgical ward in a district hospital

 Staffed community ambulance

 Training of lay first responders and volunteer paramedics

Tuberculosis

$8–263 [47]

 Childhood vaccination against endemic TB

 Directly observed short-course chemotherapy

 Isoniazid treatment of epidemic TB

 Management of drug resistance

Using MgSO4 prophylaxis for only severe cases of pre-eclampsia in low GNI countries

$263.00 [30]

Maternal and neonatal care

$127–394 [47]

 Increased primary care coverage

 Improved quality of comprehensive emergency obstetric care

 Improved overall quality and coverage of care

 Neonatal packages targeted to families, communities, and clinics

Incremental cost of preventing one case of eclampsia using MgSO4 in low GNI countries

$456.00 [30]

  1. The italicized text denotes the study program in Nepal and aims to contextualize our findings against those of alternative resource uses recommended by the Disease Control Priorities (2nd ed)