Table 59.4Cost and Cost-Effectiveness of Adolescent Health Programs

Region and country Program type (name) Number served per year Unit cost (US$) Unit Cost per DALY gained (US$) Source
Sexual and reproductive health interventions
Latin America
BrazilSchool-based HIV/AIDS prevention program0.70Per condom Antunes and others 1997
HondurasSchool-based reproductive health program to prevent HIV/AIDS10.44Per targeted adolescent1,323 World Bank 2002b
HondurasSocial marketing of condoms to adolescents904,61210.20Per targeted adolescent3,292 World Bank 2002b
HondurasSymptomatic treatment of STIs48.97Per adolescent treated28,306World Bank 2002b, as cited in Knowles and Behrman 2003b
HondurasVoluntary counseling and testing for youth1,00018.29Per adolescent undergoing voluntary counseling and testing5,873World Bank 2002b, as cited in Knowles and Behrman 2003b
HondurasWorkplace information, education, and communication1,00020.88Per worker2,623.77 World Bank 2002b
MexicoCommunity peer educators4,00063.64Per active user of contraception per year Townsend and others 1987
MexicoYouth center4,000203.47Per active user of contraception per year Townsend and others 1987
PeruSchool-based sexuality and HIV/AIDS prevention education6043.00Per student reached Caceres and others 1994
Europe and Central Asia
HungarySchool-based HIV/AIDS prevention program41,2501.40Per student per year Soderlund and others 1993
Newly independent statesSchool-based HIV/AIDS prevention program1.33Per student reachedForrai, personal communication, 1992
IndiaInformation, education, and communication programs targeted to youth1,324Per HIV infection averted66.20 World Bank 1999b
Sub-Saharan Africa
AfricaSchool-based HIV/AIDS prevention program75–200 (primary school); 121–241 (secondary school)Average unit cost of teacher training and simple materials UNECA 2000
AfricaSchool-based HIV/AIDS prevention program1.40–7.90Per student reached Watts and others 2000
AfricaPeer education8.00–10.81Per out of school adolescent reached Kumaranayake and Watts 2001
CameroonSchool-based HIV/AIDS prevention program10,0006.72Per student reached Kumaranayake and del Amo 1997
KenyaRadio program delivering family life education (Youth Initiatives Project)3,354,0000.03Per adolescent reachedKnowles and Behrman
MozambiqueCommunity based "stepping stones" approach (Action Aid)500,0000.30Per person per year World Bank 2003
MozambiqueVoluntary counseling and testing, peer education11,72618.40Per person per year World Bank 2003
SenegalMulitpronged school, clinic, and community interventions68,215– 111,714Total intervention cost over a two-year period RamaRao and Diop 2003
South AfricaTelevision show, mass media campaign (Soul Buddyz)6 million0.38Per person per year World Bank 2003
South AfricaMass media campaign (LoveLife)20 millionAnnual budget World Bank 2003
TanzaniaPrimary school peer education (MEMA kwa Vijana)2,8501.37Per person per yearWorld Bank 2003; Ross, personal communication. 2003
TanzaniaSecondary school peer education (School Health Education Program)16,250 (over three years)24.12Per person per year World Bank 2003
UgandaOutreach program for street children (GOAL: Baaba Project)5,00018.50Per person per year World Bank 2003
UgandaNewsletters, radio show (Straight Talk)Nationwide program reaching all schools630,000Amount spent in 2001 World Bank 2003
ZambiaLife skills for teachers and pupils (AIDS Action Program for Schools)0.16Additional cost of one child-year of AIDS education Knowles and Behrman 2003b
ZambiaSchool clubs, health clinics, peer education (Kafue Adolescent Reproductive Health Program)53,000 (over five years)2.26Per person per year World Bank 2003
ZimbabweSecondary school clubs, income generation, peer education (Africare)35,200 (over two years)8.89Per person per year World Bank 2003
ZimbabweSecondary school clubs, counseling, peer education (Midlands AIDS Service Organisation)2,00071.00Per person per year World Bank 2003
Other health interventions
LMICsTax on tobacco products5–17 World Bank 1999a
LMICsIron supplementation for 13- to 15-year-olds0.18Per child per yearKnowles and Berhman 2003a

Source: Authors.

— = not available.

From: Chapter 59, Adolescent Health Programs

Cover of Disease Control Priorities in Developing Countries
Disease Control Priorities in Developing Countries. 2nd edition.
Jamison DT, Breman JG, Measham AR, et al., editors.
Copyright © 2006, The International Bank for Reconstruction and Development/The World Bank Group.

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