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Table 3 Costs, effects and incremental cost-effectiveness of cancer interventions in Eastern sub-Saharan Africa

From: Cost-effective interventions for breast cancer, cervical cancer, and colorectal cancer: new results from WHO-CHOICE

Label

Description of the intervention

Pop° coverage (%)

Costs per 10 million population (I$ 2010)

HLY per 10 million population (undiscounted)

Average cost-effectiveness ratio (ACER)

Incremental cost-effectiveness ratio (ICER)

CVC_C1a

Vaccination against human papillomavirus (two doses) of 9–13-year-old girls

50

146

5,215,136

28

28

CVC_C1a

Vaccination against human papillomavirus (two doses) of 9–13-year-old girls

80

190

6,773,262

28

28

CVC_C1e

Vaccination against human papillomavirus (two doses) of 9–13-year-old girls and prevention of cervical cancer by screening women aged 30–49 through visual inspection with acetic acid linked with timely treatment of pre-cancerous lesions

80

1163

30,421,065

38

41

BRC_C2a

Treatment of breast cancer stages I and II with surgery ± systemic therapy

95

157

1,389,662

113

113

CVC_C1e

Vaccination against human papillomavirus (two doses) of 9–13-year-old girls and prevention of cervical cancer by screening women aged 30–49 through visual inspection with acetic acid linked with timely treatment of pre-cancerous lesions

95

1362

31,554,286

43

175

CRC_C3a

Treatment of colorectal cancer stages I and II with surgery ± chemotherapy and radiotherapy

95

136

626,379

217

217

BRC_C2b

Screening with mammography (once every 2 years for women aged 50–69 years) linked with timely diagnosis and treatment of breast cancer

95

1307

2,697,617

485

485

BRC_C2c

Basic palliative care for breast cancer: home-based and hospital care with multi-disciplinary team and access to opiates and essential supportive medicines

95

171

56,749

3009

3009

CVC_C1i

Basic palliative care for cervical cancer: home-based and hospital care with multi-disciplinary team and access to opiates and essential supportive medicines

95

161

48,488

3316

3316

CRC_C3b

Basic palliative care for colorectal cancer: home-based and hospital care with multi-disciplinary team and access to opiates and essential supportive medicines

95

113

5602

20,117

20,117

  1. CVC cervical cancer, BRC breast cancer, CRC colorectal cancer