Costing/economic Tools

As of May 2018, 81 countries (42% of UN Member States, corresponding to 25% of target population) had introduced HPV into the national routine immunization schedule.3 Despite carrying the greatest share of disease burden4, LICs and MICs are lagging in the introduction of HPV vaccine. To date, the majority of the countries have self-procured HPV vaccines (74% in 2017).

Developing a Resource Strategy for Your National Cancer Control Plan:Cost-effectiveness and value

Overview

• The role of cost-effectiveness studies in planning

• Country-specific data considerations

• What can be learned from other countries:

 Cost-effectiveness of HPV vaccination

 Cost-effectiveness of cervical screening

 Impact of combined interventions

Today’s focus is on cervical cancer prevention as a key component of national cancer control plans…but the same principles apply to other elements of such plans.

Developing a Cancer Plan Resource Mobilization Strategy

Introduction: resource mobilization and strategic planning for national cancer control

• Planning steps for developing a robust and sustainable RM strategy, including:

  – Identifying what is available vs what is needed to address resource gaps

   – Mapping potential sources for increased funding/support

• Examples of innovative financing mechanisms

• Recommendations

C/Can 2025 City Cancer Challenge

This report is intended to support city leaders who are looking to finance cancer infrastructure, including those that are a part of C/Can 2025. It accompanies and complements guidance that C/Can 2025 is providing for city leaders on the core package of cancer treatment services needed at the city level, which is outlined in the ‘Guiding Principles for Quality Cancer Treatment Services in Cities’ toolkit. While these resources are intended for decision makers at the city level, it is important to note that the investment and support of national governments, development partners, civil society, and the private sector will be central to the success of C/Can 2025 cities.

Kentucky has both the highest rate of new cancers as well as the highest death rate for all cancers combined in the U.S. If Kentucky were to spend money on cancer prevention and early detection, lives and money would be saved. • An investment of $10 per person annually in proven, community-based public health (prevention) programs could save the U.S. more than $16 billion within 5 years – $5.60 return for every $1.00 invested. Since Kentucky does not invest enough in cancer prevention and early detection, we spend a lot of money on cancer treatment and related costs. • In 2010, cancer care in Kentucky cost approximately $2,228,000,000. In 2020, it is estimated to increase by 69%, which would be approximately $3,775,000,000. • Cancer causes tremendous productivity losses in the U.S. estimating 33.4 million days of disability among 3.3 million people each year. This loss equates to almost 20% of the amount spent in overall health care expenditures in the U.S.

In many countries, Ministries of Health (MOHs) and Ministries of Finance (MOFs) determine which health services are delivered, when, where, and for whom. While MOHs are responsible for setting national health policy and managing the day-to-day delivery of public health services, they are dependent upon MOFs for establishing funding levels and releasing the necessary funds to finance MOH operations.

Designed for health sector managers, A Toolkit for Ministries of Health to Work More Effectively With Ministries of Finance, presents four different tools to help MOH staff better manage their resources and communicate more effectively with their MOF counterparts. The two institutions lack common language, systems, priorities, and incentives. Likewise, few opportunities exist outside the high-level meetings associated with annual budget negotiations for dialogue on the funding levels, multi-year funding requirements, and mechanisms necessary for improving health outcomes. The tool kit aims to help bridge the gap between these two important institutions. The four tools can be used separately or together, depending upon the needs of the managers.

The Health Finance and Governance (HFG) project is USAID’s flagship program to strengthen health systems. In countries around the world, Ministries of Health (MOHs) and Ministries of Finance (MOFs) play essential roles in how health systems function and when and to whom health services are delivered. While MOHs are responsible for defining the overall direction of national health policy and the day-to-day delivery of public health services, they are dependent upon MOFs that establish overall annual funding levels and release funds necessary to finance MOH operations. As a result, MOFs wield significant control over the funding and budget flexibility of MOHs. The HFG toolkit presents a set of strategies, self-assessment methodologies, and performance management processes to help MOHs better manage their own resources and effectively communicate with MOFs. The initial version of the HFG toolkit focuses specifically on the MOH / MOF dynamic. Over time it will expand to address collaboration between MOHs and a broader set of stakeholders in the health system, including Ministries of Planning, Ministries of Social Welfare, Ministries of Labor, Parliamentary Standing Committees on Health, civil society organizations, parastatals, and regulatory bodies.

This monograph provides information on the costs of running cancer registries in five of the low- and middle-income countries in which CDC’s International Registry Costing Tool (IntRegCosting Tool) was tested.

The Chronic Disease Cost Calculator version 2 is a downloadable tool that provides state-level estimates of medical expenditures and absenteeism costs for:

• Arthritis
• Asthma
• Cancer
• Cardiovascular diseases (congestive heart failure, coronary heart disease, hypertension, stroke, and other cerebrovascular disease)
• Depression
• Diabetes