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An Investment Case for the Scale-up and Use of Insecticide-Treated Nets Halfway into the SDG Targets 在可持续发展目标实现进程过半时扩大和使用驱虫蚊帐的投资案例
IF 3.4 4区 经济学 Q2 ECONOMICS Pub Date : 2023-12-19 DOI: 10.1017/bca.2023.23
Rima Shretta, Randolph Ngwafor Anye
This article examines a policy of scaling up LLINs by 10 percentage points from 2020 levels with a 90% cap in the 29 highest-burden countries in Africa along with social and behavioral change (SBC) and information education and communication (IEC) campaigns to increase the use and effectiveness of LLINs. The incremental cost of this scenario compared to a baseline of maintaining malaria interventions at 2020 levels has a present-day (2023) value of 5.7 billion US$ 2021 discounted at 8% over the period 2023–2030 (undiscounted starting at US$ 416 million in 2023 increasing to US$ 1.4 billion in 2030). This investment will prevent 1.07 billion clinical cases and save 1,337,069 lives. With standardized Copenhagen Consensus Center assumptions, the mortality benefit translates to a present value of US$ 225.9 billion. The direct economic gain is also substantial: the incremental scenarios lead to US$ 7.7 billion in reduced health system expenditure from the reduced treatment of cases, a reduction in the cost of delivering malaria control activities, and reduced household out-of-pocket expenses for malaria treatment. The productivity gains from averted employee and caretaker absenteeism and presenteeism add benefits with a present value of US$ 41.7 billion. Each dollar spent on the incremental scenario delivers US$ 48 in Societal.
本文研究了一项政策,即在非洲疟疾负担最重的 29 个国家将长效驱虫蚊帐的使用率从 2020 年的水平提高 10 个百分点,上限为 90%,同时开展社会和行为改变 (SBC) 以及信息教育和宣传 (IEC) 活动,以提高长效驱虫蚊帐的使用率和有效性。与将疟疾干预措施维持在 2020 年水平的基线相比,该方案的增支成本在 2023-2030 年期间按 8%贴现,2021 年的现值为 57 亿美元(2023 年的未贴现成本为 4.16 亿美元,2030 年增至 14 亿美元)。这项投资将预防 10.7 亿例临床病例,挽救 1337069 人的生命。根据哥本哈根共识中心的标准假设,死亡率收益的现值为 2259 亿美元。直接经济收益也非常可观:由于病例治疗的减少、疟疾控制活动成本的降低以及家庭自付的疟疾治疗费用的减少,增量方案导致卫生系统支出减少 77 亿美元。雇员和看护人员避免缺勤和旷工所带来的生产率收益增加了 417 亿美元的现值。在增量情景中每花费 1 美元,可带来 48 美元的社会效益。
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引用次数: 0
Sustainable Development Goal Halftime Project: Benefit-Cost Analysis Using Methods from the Decade of Vaccine Economics Model–CORRIGENDUM 可持续发展目标半程项目:使用十年疫苗经济学模型方法的效益-成本分析-勘误表
4区 经济学 Q2 ECONOMICS Pub Date : 2023-10-31 DOI: 10.1017/bca.2023.35
Bryan Patenaude, Salin Sriudomporn, Joshua Mak
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引用次数: 0
Best Investments in Chronic, Noncommunicable Disease Prevention and Control in Low- and Lower–Middle-Income Countries – CORRIGENDUM 低收入和中低收入国家对慢性非传染性疾病预防和控制的最佳投资-勘误表
4区 经济学 Q2 ECONOMICS Pub Date : 2023-10-17 DOI: 10.1017/bca.2023.34
David Watkins, Sali Ahmed, Sarah Pickersgill
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引用次数: 0
Save 4.2 Million Lives and Generate $1.1 Trillion in Economic Benefits for Only $41 Billion: Introduction to the Special Issue on the Most Efficient Policies for the Sustainable Development Goals 用410亿美元挽救420万人的生命,创造1.1万亿美元的经济效益:关于实现可持续发展目标的最有效政策特刊简介
4区 经济学 Q2 ECONOMICS Pub Date : 2023-10-16 DOI: 10.1017/bca.2023.32
Bjorn Lomborg
Abstract The Sustainable Development Goals (SDGs) are ambitious but in deep trouble. Benefit–cost analysis can help. This Special Issue highlights 12 of the most efficient interventions to speed up progress on the SDGs with Benefit–Cost Ratios (BCRs) above 15. The approaches cover tuberculosis, education, maternal and newborn health, agricultural R&D, malaria, e-procurement, nutrition, land tenure security, chronic diseases, trade, child immunization, and skilled migration. Spanning 2023–2030, these policy approaches are estimated to cost an annual average of $41 billion (of which $6 billion is non-financial). They will realistically deliver $2.1 trillion in annual benefits, consisting of $1.1 trillion in economic benefits and 4.2 million lives saved. The pooled benefit–cost ratio of all 12 investments is 52. By prioritizing these high-impact “best buy” interventions, decision-makers can enhance resource allocation and contribute most efficiently to the SDGs.
可持续发展目标(SDGs)雄心勃勃,但深陷困境。收益-成本分析可以提供帮助。本期特刊重点介绍了12项最有效的干预措施,以加快实现效益-成本比超过15的可持续发展目标。这些办法涵盖结核病、教育、孕产妇和新生儿保健、农业研发、疟疾、电子采购、营养、土地保有权保障、慢性病、贸易、儿童免疫和技术移民。在2023年至2030年期间,这些政策方法估计每年平均花费410亿美元(其中60亿美元是非财政支出)。实际上,它们每年将带来2.1万亿美元的效益,其中包括1.1万亿美元的经济效益和420万人的生命。所有12项投资的总收益成本比为52。通过优先考虑这些高影响力的“最合买”干预措施,决策者可以加强资源分配,并最有效地为实现可持续发展目标作出贡献。
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引用次数: 1
Cost–Benefit Analysis of an “Average” Professional Sports Team or Stadium in the United States 美国“一般”职业运动队或体育场的成本效益分析
4区 经济学 Q2 ECONOMICS Pub Date : 2023-09-28 DOI: 10.1017/bca.2023.33
Cristian F. Sepulveda
Abstract Professional sports teams commonly reevaluate their location decisions based on the prospect of building new, more attractive, stadiums. Even though a large economic literature warns about the modest (and possibly negative) effects on the local economy of hosting a professional sports team, the economic effects of professional teams and stadiums remain blurry for the general public, and cities in the United States continue to compete to lure teams with generous public subsidies. This article integrates several contributions of the literature into one cohesive and simple framework based on cost–benefit analysis, and provides estimations of the average local economic effects of teams in the four biggest professional leagues in the United States. If professional sports games do not attract visitors from other cities, or if players and owners do not spend a significant share of their income in the area, hosting a team can negatively affect the local economy.
职业运动队通常会根据建造新的、更有吸引力的体育场馆的前景来重新评估他们的选址决策。尽管大量的经济文献警告说,主办专业运动队对当地经济的影响不大(甚至可能是负面的),但对普通公众来说,专业运动队和体育场的经济影响仍然很模糊,美国的城市继续用慷慨的公共补贴来竞争吸引球队。本文基于成本效益分析,将文献的几个贡献整合到一个有凝聚力和简单的框架中,并提供了对美国四个最大职业联赛球队的平均当地经济效应的估计。如果职业体育比赛不能吸引其他城市的游客,或者如果球员和老板没有在该地区花费大量的收入,那么主办球队就会对当地经济产生负面影响。
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引用次数: 0
Sustainable Development Goal Halftime Project: Benefit-Cost Analysis Using Methods from the Decade of Vaccine Economics Model 可持续发展目标半程项目:利用十年疫苗经济学模型的方法进行效益-成本分析
4区 经济学 Q2 ECONOMICS Pub Date : 2023-09-14 DOI: 10.1017/bca.2023.11
Bryan Patenaude, Nancy Dubosse, Salin Sriudomporn, Joshua Mak
Abstract In 2023, the world will be at “halftime” with respect to the sustainable development goals (SDGs). This midline acts as an important milestone to review the progress of the SDGs and develop policies based on the most effective interventions. To estimate the remaining resources needed to achieve SDG targets for vaccines from 2023 to 2030 as well the resulting economic benefits, in this analysis, the incremental economic benefit-cost ratio (BCR) for immunization programs in 80 low- and middle-income countries targeted by the Global Vaccine Action Plan from 2023 to 2030 is calculated. Of these 80 countries, 27 are classified as low-income countries and 53 are classified as lower-middle-income countries (LMICs). The economic evaluation covers 9 vaccines employed against 10 antigens and delivered through both routine immunization programs and supplemental immunization activities. The vaccines covered in the analysis include pentavalent vaccine, human papillomavirus vaccine, Japanese encephalitis vaccine, measles vaccine, measles-rubella vaccine, meningococcal conjugate A vaccine, pneumococcal conjugate vaccine, rotavirus vaccine, and yellow fever vaccine, and correspond to the vaccines covered in the return-on-investment estimates presented in Sim et al. , which covered 94 LMICs from 2011 to 2030. For these countries, we estimate program costs from the health system perspective, including vaccine costs such as costs to procure vaccines, which incorporate injection supplies and freight; and immunization delivery costs, which include nonvaccine commodity costs to deliver immunizations to target populations and incorporate labor, cold chain and storage, transportation, facilities, training, surveillance, and wastage. Economic benefits are calculated using a value of statistical life year (VSLY) approach applied to modeled cases, and deaths averted are converted into averted years of life lost using life expectancy data. BCRs are presented as the final output that compares incremental costs and benefits from the baseline of 2022 levels, assuming diminishing returns to scale. Overall, for this period, we estimate total costs of US$ 7,581,837,329.08 with VSLY benefits of US$ 762,172,371,553.54, resulting in a BCR of 100.53.
2023年,世界将处于可持续发展目标(SDGs)的“中场”。这条中间线是审查可持续发展目标进展情况和根据最有效的干预措施制定政策的重要里程碑。为了估计实现2023年至2030年可持续发展目标疫苗具体目标所需的剩余资源以及由此产生的经济效益,本分析计算了2023年至2030年全球疫苗行动计划所针对的80个低收入和中等收入国家免疫规划的增量经济效益成本比(BCR)。在这80个国家中,27个被列为低收入国家,53个被列为中低收入国家。经济评估涵盖针对10种抗原的9种疫苗,并通过常规免疫规划和补充免疫活动提供。分析所涵盖的疫苗包括五价疫苗、人乳头瘤病毒疫苗、日本脑炎疫苗、麻疹疫苗、麻疹-风疹疫苗、脑膜炎球菌结合A疫苗、肺炎球菌结合疫苗、轮状病毒疫苗和黄热病疫苗,并与Sim等人在2011年至2030年期间对94个低收入国家的投资回报率估算所涵盖的疫苗相对应。对于这些国家,我们从卫生系统的角度估计规划成本,包括疫苗成本,如采购疫苗的成本,其中包括注射用品和运费;免疫接种交付成本,包括向目标人群提供免疫接种的非疫苗商品成本,并包括劳动力、冷链和储存、运输、设施、培训、监测和浪费。经济效益是使用应用于模拟病例的统计生命年值(VSLY)方法计算的,避免的死亡是使用预期寿命数据转换为避免的寿命损失年数。bcr作为最终产出,在假设规模收益递减的情况下,比较2022年基线水平的增量成本和收益。总体而言,在此期间,我们估计总成本为7,581,837,329.08美元,VSLY收益为762,172,371,553.54美元,BCR为100.53。
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引用次数: 1
The Elasticity of Marginal Utility of Income for Distributional Weighting and Social Discounting: A Meta-Analysis 收入边际效用对分配加权和社会贴现的弹性:一个元分析
IF 3.4 4区 经济学 Q2 ECONOMICS Pub Date : 2023-08-25 DOI: 10.1017/bca.2023.29
Dan Acland, D. Greenberg
Estimates of the elasticity of the marginal utility of income are necessary for determining distributional weights to correct for diminishing marginal utility of income, which is particularly important in light of increasing concern about accounting for distributional impacts in regulatory review. The elasticity is also necessary for computing the social discount rate using the Ramsey formula. Despite many attempts to estimate the elasticity of the marginal utility of income, considerable uncertainty exists about the magnitude of this key parameter. In this paper, we use meta-analysis of estimates of the elasticity from the US and UK to shed light on the appropriate elasticity values to use for both distributional weighting and discounting. Relying on our findings, we tentatively conclude that it is reasonable to base the social discount rate and distributional weights on an elasticity of 1.6, with lower- and upper-bound sensitivity testing at 1.2 and 2.0. This estimate results in distributional weights which appear plausible, and which we believe can contribute to a consensus on how to conduct distributional weighting. Moreover, the resulting social discount rate is within the range typically recommended when the Ramsey formula is used.
对收入边际效用弹性的估计对于确定分配权重以纠正收入边际效用递减是必要的,鉴于在监管审查中对分配影响的核算日益受到关注,这一点尤为重要。弹性也是利用拉姆齐公式计算社会贴现率所必需的。尽管许多人试图估计收入边际效用的弹性,但这个关键参数的大小存在相当大的不确定性。在本文中,我们对美国和英国的弹性估计进行了荟萃分析,以阐明用于分配加权和贴现的适当弹性值。根据我们的研究结果,我们初步得出结论,将社会贴现率和分配权重基于1.6的弹性是合理的,下限和上限灵敏度测试分别为1.2和2.0。这个估计结果的分布权重似乎是合理的,我们相信这可以有助于就如何进行分布加权达成共识。此外,所得的社会贴现率在使用拉姆齐公式时通常推荐的范围内。
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引用次数: 0
One Million Lives Saved Per Year: A Cost–Benefit Analysis of the Global Plan to End Tuberculosis, 2023–2030 and Beyond 每年拯救100万人的生命:《2023-2030年及以后全球终止结核病计划》的成本效益分析
IF 3.4 4区 经济学 Q2 ECONOMICS Pub Date : 2023-08-23 DOI: 10.1017/bca.2023.13
C. Pretorius, N. Arinaminpathy, S. Mandal, S. Sahu, M. Pai, Roland Mathiasson, Brad Wong
This report presents a cost–benefit analysis of increased spending on tuberculosis (TB) using impacts and costs drawn from the Global Plan to End Tuberculosis, 2023–2030. The analysis indicates that the return on TB spending is substantial with a centrally estimated benefit–cost ratio (BCR) of 46, meaning every US$ 1 invested in TB yields US$ 46 in benefits. Alternative specifications using different baselines, interventions, cost profiles, and discount rates still yield robustly high BCRs, in the range of 28–84. This report also shows that TB investment would avert substantial mortality, estimated at 27.3 million averted deaths over the 28-year period between 2023 and 2050 inclusive: almost 1 million averted deaths per year on average. Accounting for all estimated direct and indirect costs, the cost per averted death is slightly over US$ 2000. Interventions to address TB represent exceptional value-for-money.
本报告利用《2023-2030年终止结核病全球计划》的影响和成本,对增加结核病支出进行了成本效益分析。分析表明,结核病支出的回报是可观的,集中估计的收益-成本比(BCR)为46,这意味着投入结核病的每1美元产生46美元的收益。使用不同基线、干预措施、成本概况和贴现率的替代规范仍然产生高bcr,在28-84之间。本报告还显示,结核病投资将避免大量死亡,在2023年至2050年(含2050年)的28年期间,估计可避免2730万人死亡:平均每年可避免近100万人死亡。算上所有估计的直接和间接费用,每个避免死亡的费用略高于2000美元。应对结核病的干预措施具有卓越的物有所值。
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引用次数: 1
Improving Learning in Low- and Lower-Middle-Income Countries 改善低收入和中低收入国家的学习
IF 3.4 4区 经济学 Q2 ECONOMICS Pub Date : 2023-08-18 DOI: 10.1017/bca.2023.26
N. Angrist, E. Aurino, H. Patrinos, George Psacharopoulos, Emiliana Vegas, R. Nordjo, Brad Wong
The current challenge of education systems is learning. Across low-income countries (LICs) and lower-middle-income countries (LMCs), 62 % of 10-year-olds could not read at a minimally sufficient level in 2015. This study provides an overview of recent spending on education and its correlation with learning outcomes. We show that the relationship between education spending and learning is historically weak. From 2000 to 2015, LICs and LMCs increased spending on education in primary schools by ~$137 per student, an 80 % inflation-adjusted increase, with no corresponding change on the average learning outcomes. We then conduct a benefit-cost analysis of candidate interventions that could increase learning at low cost. Two interventions – structured pedagogy and, teaching at the right level, with and without a technology component generate large benefit-cost ratios. If deployed uniformly to reach 90 % of the 467 million students in LICs and LMCs, these interventions would cost on average $18 per student per year or $7.6 billion annually, generating $65 in benefits for every $1 spent. The economic logic behind this finding is that the hard and costly work of getting children into primary schools has mostly been accomplished, leaving open the possibility of learning interventions that improve the efficiency of the existing education system at low cost. Our results show that increasing education expenditure by just 6 % could increase learning by 120 % if directed toward these highly cost-effective interventions.
当前教育系统面临的挑战是学习。2015年,在低收入国家和中低收入国家,62%的10岁儿童的阅读能力达不到最低水平。本研究概述了最近的教育支出及其与学习成果的关系。我们表明,教育支出和学习之间的关系在历史上是微弱的。从2000年到2015年,低收入国家和低收入国家的小学教育支出每名学生增加了约137美元,经通货膨胀调整后增长了80%,平均学习成果没有相应的变化。然后,我们对可能以低成本增加学习的候选干预措施进行了效益-成本分析。两项干预措施——结构化教学法和适当水平的教学,无论是否包含技术成分——产生了巨大的效益-成本比。如果统一部署,惠及低收入国家和低收入国家4.67亿学生中的90%,这些干预措施将平均每年花费每位学生18美元,或每年76亿美元,每花费1美元产生65美元的收益。这一发现背后的经济逻辑是,让孩子进入小学的艰苦而昂贵的工作大部分已经完成,这就为以低成本提高现有教育系统效率的学习干预留下了可能性。我们的研究结果表明,如果采用这些高成本效益的干预措施,仅增加6%的教育支出就可以使学习增加120%。
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引用次数: 2
Benefit–Cost Analysis of Increased Funding for Agricultural Research and Development in the Global South 增加发展中国家农业研究与发展资金的收益-成本分析
IF 3.4 4区 经济学 Q2 ECONOMICS Pub Date : 2023-08-07 DOI: 10.1017/bca.2023.27
M. Rosegrant, Brad Wong, T. Sulser, Nancy Dubosse, Travis J. Lybbert
This paper conducts a benefit–cost analysis of expanding agricultural research and development (R&D) in the Global South. We extend a recent modeling exercise that used IFPRI’s IMPACT model to estimate the investments required to reduce the global prevalence of hunger below 5%. After 35 years, the increased funding is estimated to increase agricultural output by 10%, reduce the prevalence of hunger by 35%, reduce food prices by 16%, and increase per capita incomes by 4% relative to a counterfactual where funding continues to rise on historical trends. Using an 8% discount rate, the net present value of the costs of agricultural R&D are estimated at $61 billion for the next 35 years, while the net present benefits in terms of net economic surplus (the sum of consumer and producer surplus) are estimated at $2.1 trillion. The central estimate of the benefit–cost ratio (BCR) is 33, consistent with previous research documenting high average returns to agricultural research and development. The central BCR reported in this study places the intervention at the 91st percentile of all previous Copenhagen Consensus BCRs in agriculture, and 87th percentile for all BCRs regardless of sector. Agricultural R&D is likely one of the best uses of resources for the remainder of the Sustainable Development Goals and decades beyond.
本文对发展中国家扩大农业研究与开发(R&D)进行了效益-成本分析。我们扩展了最近的一项建模工作,该工作使用国际粮食政策研究所的IMPACT模型来估计将全球饥饿发生率降低到5%以下所需的投资。35年后,增加的资金估计将使农业产出增加10%,饥饿发生率降低35%,粮食价格降低16%,人均收入增加4%,而资金继续按历史趋势增长的情况则相反。使用8%的贴现率,未来35年农业研发成本的净现值估计为610亿美元,而净经济盈余(消费者和生产者剩余的总和)的净现值收益估计为2.1万亿美元。效益成本比(BCR)的中心估计值为33,与先前记录农业研发高平均回报的研究一致。本研究报告的核心BCR将干预置于所有先前哥本哈根共识农业BCR的第91个百分位,以及所有BCR的第87个百分位,无论部门。农业研发可能是可持续发展目标剩余时间和未来几十年的最佳资源利用方式之一。
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引用次数: 2
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Journal of Benefit-Cost Analysis
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