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Chapter 10 - Benefits and Costs of the Health Targets for the Post-2015 Development Agenda

Published online by Cambridge University Press:  30 May 2018

Bjorn Lomborg
Affiliation:
Copenhagen Business School
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Summary

In this chapter, we attempt to provide a BCR for an overall outcome of reducing premature mortality in low- and lower-middle-income countries by 40% by 2030 (40x30). This method quantifies the value of a broad-based expansion of health care resources for services and interventions rather than an incremental intervention-by-intervention approach. We propose this outcome as a new sub goal of SDG3 (Norheim et al. 2014). By focussing on mortality we do not mean to deny the importance of the sub goals to reduce disability and suffering, such as that aimed at improving mental health or palliative care. However, the burden of disability and suffering as captured in the disability-adjusted life year (DALY) in low- and middle-income countries (LMICs), is relatively smaller than mortality (Jha 2014), especially in lower-income countries (Murray et al. 2012). Because most causes of premature mortality are highly correlated with those of disability, a reduction in the former will result in a reduction of the latter. However, the benefits of healthy years gained takes into account (albeit crudely) the ratio of disability to mortality.
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Chapter
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Prioritizing Development
A Cost Benefit Analysis of the United Nations' Sustainable Development Goals
, pp. 219 - 230
Publisher: Cambridge University Press
Print publication year: 2018

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