ArticleHealth policy and planning2016
Scaling-up essential neuropsychiatric services in Ethiopia: a cost-effectiveness analysis.
Article in Health policy and planning, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 5 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
26 citing papers in PubMed, 5 syntheses or guidelines pooled it, 38 citations in OpenAlex.
- Characteristics and Quality Appraisal of the Economic Evaluations Done in Ethiopia: A Systematic Review.PharmacoEconomics - open · 2023Pooled it
- Cost Effectiveness of Pharmacological and Non-pharmacological Treatments for Depression in Low- and Middle-Income Countries: A Systematic Literature Review.PharmacoEconomics · 2023Pooled it
- The Use of Expert Elicitation among Computational Modeling Studies in Health Research: A Systematic Review.Medical decision making : an international journal of the Society for Medical Decision Making · 2022Pooled it
- A systematic review of scope and quality of health economic evaluations conducted in Ethiopia.Health policy and planning · 2022Pooled it
- Building on the HIV chronic care platform to address noncommunicable diseases in sub-Saharan Africa: a research agenda.AIDS (London, England) · 2018Pooled it
- The Cost Effectiveness of Treatment Strategies for Depression in Ethiopia: A Multiple Cohort Markov Model Analysis.Applied health economics and health policy · 2026Article
- Utilization of mental health services and associated factors among residents of southern Ethiopia; a community based cross-sectional study.BMC health services research · 2025Article
- Scaling-up a new socio-mental health service model in Iran to reduce burden of neuropsychiatric disorders: an economic evaluation study.International journal of mental health systems · 2021Article
- Generalised cost-effectiveness analysis of 159 health interventions for the Ethiopian essential health service package.Cost effectiveness and resource allocation : C/E · 2021Article
- Economic evaluations of psychological treatments for common mental disorders in low- and middle-income countries: protocol for a systematic review.Global health action · 2021Article
- Validation of the Communication Profile-Adapted in Ethiopian children with neurodevelopmental disorders.Global mental health (Cambridge, England) · 2021Article
- The Lancet NCDI Poverty Commission: bridging a gap in universal health coverage for the poorest billion.Lancet (London, England) · 2020Review
- Mental health financing challenges, opportunities and strategies in low- and middle-income countries: findings from the Emerald project.BJPsych open · 2019Article
- A cost-effectiveness analysis of maternal and neonatal health interventions in Ethiopia.Health policy and planning · 2019Article
- Global Health and Epilepsy: Update and Future Directions.Current neurology and neuroscience reports · 2019Review
- Innovative Models in Mental Health Delivery Systems: Task Sharing Care with Non-specialist Providers to Close the Mental Health Treatment Gap.Current psychiatry reports · 2019Review
- Country contextualisation of cost-effectiveness studies: lessons from Ethiopia.BMJ global health · 2019Review
- Moving towards universal health coverage for mental disorders in Ethiopia.International journal of mental health systems · 2019Article
- The pitfalls of scaling up evidence-based interventions in health.Global health action · 2019Article
- Systematic review of pharmacoeconomic models for schizophrenia.Journal of market access & health policy · 2018Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors at 3 institutions in 4 countries.
Funding
Abstract
introductionThere is an immense need for scaling-up neuropsychiatric care in low-income countries. Contextualized cost-effectiveness analyses (CEAs) provide relevant information for local policies. The aim of this study is to perform a contextualized CEA of neuropsychiatric interventions in Ethiopia and to illustrate expected population health and budget impacts across neuropsychiatric disorders.
methodsA mathematical population model (PopMod) was used to estimate intervention costs and effectiveness. Existing variables from a previous WHO-CHOICE regional CEA model were substantially revised. Treatments for depression, schizophrenia, bipolar disorder and epilepsy were analysed. The best available local data on epidemiology, intervention efficacy, current and target coverage, resource prices and salaries were used. Data were obtained from expert opinion, local hospital information systems, the Ministry of Health and literature reviews.
resultsTreatment of epilepsy with a first generation antiepileptic drug is the most cost-effective treatment (US$ 321 per DALY adverted). Treatments for depression have mid-range values compared with other interventions (US$ 457-1026 per DALY adverted). Treatments for schizophrenia and bipolar disorders are least cost-effective (US$ 1168-3739 per DALY adverted).
conclusionThis analysis gives the Ethiopian government a comprehensive overview of the expected costs, effectiveness and cost-effectiveness of introducing basic neuropsychiatric interventions.
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What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.