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Applied Study No. 4 Child Survival and Environmental Health Interventions : A Cost-Effectiveness Analysis

By Varley, Robert C. G.

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Book Id: WPLBN0000066475
Format Type: PDF eBook
File Size: 0.3 MB
Reproduction Date: 2005
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Title: Applied Study No. 4 Child Survival and Environmental Health Interventions : A Cost-Effectiveness Analysis  
Author: Varley, Robert C. G.
Language: English
Subject: Economics, Finance & business, World Bank.
Collections: Economics Publications Collection
Publication Date:
Publisher: The World Bank


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G. Varle, R. C. (n.d.). Applied Study No. 4 Child Survival and Environmental Health Interventions : A Cost-Effectiveness Analysis. Retrieved from


Introduction: 1.1 Background. This paper argues that to achieve the maximum health impact from limited funds, agencies like USAID should give environmental health1 interventions more prominence in child survival programming. Environmental health interventions are environmentally based preventive measures, such as changing hygiene behaviors to increase the health impact of water supply and sanitation hardware, or destroying vector breeding sites, or substituting non-polluting for polluting fuels. Environmental health interventions prevent illness by reducing exposure to adverse environmental conditions and by promoting behavioral change. Traditionally most public health issues were environmental health problems. It is only in the context of international health programs that delivery of subsidized clinically or medically based curative interventions (which are ?private goods?) have been become such an important element of public health activities. Historically public health was concerned with supplying preventive ?public goods?. USAID?s child survival strategy gives prominence to a ?package? of interventions including immunization for childhood diseases, breastfeeding, vitamin supplementation, and oral rehydration therapy (ORT) for the treatment of severe diarrhea. These low-cost interventions, which are delivered to child and mother, are funded through the health sector. Recent innovations?for example, the Integrated Management of Childhood Illness (IMCI)?have...


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