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Health Sector Reform in Asia and the Pacific    added 1/11/01
Options for Developing Countries  a book by Asian Development Bank 1999

Costs of saving a DALY (Daily Adjusted Life Year) 
in developing countries for three categories of health problems.  
Low (under $100), Medium ( $100 to $250), and High ($200 to > $1,000)   added 1/04/01

Executive Summary

Many health interventions are possible - but they must be allocated by some means. A great many techniques have been used to establish the need and allocate the funds (pg 20)

Lower income countries generally have health sector allocations of $6 per capita.

Disease burden could be reduced by 25% with the total expenditure per person was raised to $15.

Much of Asia's population still resides in rural areas, where poverty incidence is 46%, compared to 34% for urban areas.

Chapter 3 Prioritizing Health Interventions

"More than 80% of essential interventions and nearly 70% of desirable interventions focus on primary care, but countries in the region spend an average of less than 10% of their health care resources on primary care."

"Governments in developing countries are currently estimated to spend $21 per capita on health care services.  Of this $21, only about $1 per capita is spent for cost-effective public health services.  Another $4-$6 per capita goes to primary health care services supplied by lower-tier facilities"  pg 49

Chapter 5 Improving Access and Equity

In Japan and Korea universal coverage has led to expanded clinical care so that every urban resident and 62% of the rural population live within 30 minutes travel of a facility  pg 93.  NOTE: This is standard travel time, not emergency travel time.