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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