Economic returns on investing in early childhood development in Vietnam: a cost-benefit analysis

被引:0
|
作者
Baek, Yeji [1 ,2 ]
Fisher, Jane [1 ]
Tran, Thach [1 ]
Owen, Alice [1 ]
Nguyen, Trang [3 ]
Luchters, Stanley [4 ,5 ,6 ]
Hipgrave, David B. [7 ,8 ,9 ]
Hanieh, Sarah [10 ]
Tran, Tuan [3 ]
Ha, Tran-Thi-Thu [3 ]
Biggs, Beverley-Ann [10 ]
Ademi, Zanfina [1 ,2 ]
机构
[1] Monash Univ, Sch Publ Hlth & Prevent Med, Melbourne, Australia
[2] Monash Univ, Fac Pharm & Pharmaceut Sci, HEPER, Melbourne, Australia
[3] RTCCD, Hanoi, Vietnam
[4] Ctr Sexual Hlth & HIV AIDS Res Ceshhar, Harare, Zimbabwe
[5] LSTM, Liverpool, England
[6] Univ Ghent, Dept Publ Hlth & Primary Care, Ghent, Belgium
[7] UNICEF, Baghdad, Iraq
[8] Natl Univ Singapore, Saw Swee Hock Sch Publ Hlth, Singapore, Singapore
[9] Natl Univ Hlth Syst, SingHealth Duke NUS Global Hlth Inst, Singapore, Singapore
[10] Univ Melbourne, Peter Doherty Inst Infect & Immun, Dept Infect Dis, Melbourne, Australia
基金
英国医学研究理事会;
关键词
Early childhood development; Cost-benefit analysis; Vietnam; PROGRAM;
D O I
10.1186/s12913-025-12516-z
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
BackgroundEconomic evidence on the long-term benefits of investing in early childhood development is limited. This study aimed to estimate the potential long-term economic benefits of an early childhood development intervention 'Learning Clubs' in Vietnam.MethodsWe conducted a cost-benefit analysis to estimate the costs and benefits of the intervention compared to the standard of care from a limited societal perspective. The intervention cost and child cognitive development outcome were derived from the published 'Learning Clubs' trial-based cost-effectiveness analysis. Benefits were monetised based on the gains in wages associated with improved cognitive development over a lifetime at the population level, using a life-table model. The benefit-cost ratio was estimated as the benefits in wages divided by the intervention cost with a 3% discount rate, assuming nationwide scale up to a hypothetical national birth cohort. Sensitivity, scenario, and threshold analyses were conducted to examine the uncertainty around the model.ResultsThe benefit-cost ratio was 5.52, indicating that the expected benefit for each US$1 invested would be US$5.52. The intervention would generate economic benefits of US$1,566 per child over their lifetime. Upon nationwide scale-up, the total benefit would amount to US$2.28 billion per national annual birth cohort. Probabilistic sensitivity analyses estimated the benefit-cost ratio to be 5.90 (95%CI 2.66 to 11.12). The findings were relatively robust as the benefit-cost ratios remained above 1 in all sensitivity and scenario analyses.ConclusionsOur findings support greater investments in early childhood development. The Excel-based model is available for further use and adaption to other settings.
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页数:9
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