Evidence map›Paper›PMID 41674390›Full record

ArticleHealth promotion journal of Australia : official journal of Australian Association of Health Promotion Professionals2026

Evaluating the Economic Impact of Learn-to-Swim Programmes: A Cost-Benefit Analysis of the First Lap Voucher Programme in Australia.

Siyuan Wang, Rona Macniven, Amy Peden, Blake Angell

Abstract read
In one paragraph

Article in Health promotion journal of Australia : official journal of Australian Association of Health Promotion Professionals, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from 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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Evaluating the Economic Impact of Learn-to-Swim Programmes: A Cost-Benefit Analysis of the First Lap Voucher Programme in Australia.Health promotion journal of Australia : official journal of Australian Association of Health Promotion Professionals · 2026
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Siyuan WangThe George Institute for Global Health, UNSW Sydney, Sydney, New South Wales, Australia.ORCID https://orcid.org/0009-0009-5870-870X
Rona MacnivenSchool of Population Health, Faculty of Medicine and Health, UNSW Sydney, Sydney, New South Wales, Australia.
Amy PedenSchool of Population Health, Faculty of Medicine and Health, UNSW Sydney, Sydney, New South Wales, Australia.
Blake AngellThe George Institute for Global Health, UNSW Sydney, Sydney, New South Wales, Australia.ORCID https://orcid.org/0000-0002-7188-7740

Funding

New South Wales Government RG214380
6 · The paper itself

Abstract

issue addressedSwimming is an essential life skill for Australian children. Access to swimming lessons helps develop competence in the water. However, participation in swimming lessons among preschool-aged children has declined in recent years, particularly following the pandemic. The New South Wales Government introduced the First Lap programme to encourage preschoolers' access to swimming lessons by providing AUS$100 vouchers during the 2021-2022 and 2022-2023 financial years. The programme aimed to increase participation in early swimming education and raise parental awareness of its importance for water safety. We assessed its economic impact from a policy perspective.

methodsWe surveyed registered First Lap providers and participating families to estimate programme benefits. Costs were sourced from the state government, with outcomes reported using standard cost-benefit metrics. Subgroup analyses by Socio-Economic Indexes for Areas quantiles examined variations in programme impact across community groups.

resultsA total of 100 providers and 14 126 parents/carers completed the surveys. Our findings suggest direct benefits of AUS$39.3 million against costs of AUS$28 million, yielding AUS$1.40 per dollar invested. Including indirect benefits increased total returns to AUS$62.3 million, or AUS$2.23 per dollar. Benefits consistently exceeded costs in both financial periods, with returns between AUS$1.38 and AUS$2.11 in 2021-2022 and AUS$1.43 to AUS$2.38 in 2022-2023. Subgroup analysis showed direct returns from AUS$1.40 to AUS$1.43 and AUS$2.22 to AUS$2.25 across socio-economic groups.

conclusionsWe found strong economic support for the programme, with significant benefits across socio-economic groups. SO WHAT?: The findings suggest that the First Lap programme, providing swimming vouchers to preschoolers, is a cost-effective initiative to help families access lessons and promote children's safety and health.

Indexed as

Health PromotionSwimmingChild, PreschoolCost-Benefit AnalysisHumansNew South WalesProgram Evaluationcost–benefit analysisdrowning preventioneconomic evaluationlearn‐to‐swim programmewater competence

Identifiers

PMID41674390
PMCPMC12895295

What OpenQuestion holds

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Registered trials

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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.