Economic evaluation of a combined microfinance and gender training intervention for the prevention of intimate partner violence in rural South Africa

Stephen Jan, Giulia Ferrari, Charlotte H Watts, James R Hargreaves, Julia C Kim, Godfrey Phetla, Linda A Morison, John D Porter, Tony Barnett, Paul M Pronyk

Research output: Contribution to journalArticle (Academic Journal)

Abstract

Objective: Assess the cost-effectiveness of an intervention combining microfinance with gender and HIV training for the prevention of intimate partner violence (IPV) in South Africa.
Methods: We did a cost-effectiveness analysis alongside a cluster-randomised trial. We assessed the cost-effectiveness of the intervention in both the trial and initial scale up phase
Results: We estimated the cost per DALY gained as $7,688 for the trial phase and $2,307 for the initial scale-up. The findings were sensitive to the statistical uncertainty in effect estimates but otherwise robust to other key assumptions employed in the analysis.
Conclusions: The findings suggest that this combined economic and health intervention was cost-effective in its trial phase and highly cost-effective in scale-up. These estimates are probably conservative, as they do not include the health and development benefits of the intervention beyond IPV reduction.
Original languageEnglish
JournalHealth Policy and Planning
Publication statusPublished - 25 Oct 2010

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