Journal
APPLIED HEALTH ECONOMICS AND HEALTH POLICY
Volume 9, Issue 3, Pages 183-196Publisher
SPRINGER INTERNATIONAL PUBLISHING AG
DOI: 10.2165/11539640-000000000-00000
Keywords
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Funding
- Atlantic Philanthropies under the 'Developing the Evidence Base for Health Policy in Vietnam' project
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Background: Tobacco smoking is one of the leading public health problems in the world. It is also possible to prevent and/or reduce the harm from tobacco use through the use of cost-effective tobacco control measures. However, most of this evidence comes from developed countries and little research has been conducted on this issue in developing countries. Objective: The objective of this study was to analyse the cost effectiveness of four population-level tobacco control interventions in Vietnam. Methods: Four tobacco control interventions were evaluated: excise tax increase; graphic warning labels on cigarette packs; mass media campaigns; and smoking bans (in public or in work places). A multi-state life table model was constructed in Microsoft (R) Excel to examine the cost effectiveness of the tobacco control intervention options. A government perspective was adopted, with costing conducted using a bottom-up approach. Health improvement was considered in terms of disability-adjusted life-years (DALYs) averted. All assumptions were subject to sensitivity and uncertainty analysis. Results: All the interventions fell within the definition of being very cost effective according to the threshold level suggested by the WHO (i.e.
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