Following the cost-effectiveness study of the Inspire2Care pilot in 2014, this year a new cost effectiveness study was carried out on the scaling-up program of Inspire2Care in Ilam district.

Read the full report here.

In total an estimated 1,926 DALYs were averted using the 2004 weights and 878 using the 2016 weights. This gives a cost per DALY averted of EUR 384-843 depending on the weights used. Estimated expenditures for batch 3 and results in line with batch 2 would result in a batch 3
cost per DALY averted of EUR 322-693. The anticipated cost-effectiveness of the CBR component of I2C in the planned replication prototype municipality, excluding Karuna Foundation Netherlands expenditures and Karuna Foundation Nepal indirect administrative expenses, is EUR 51-107.

This cost per Disability-Adjusted Life Years (DALY) averted is well within the reach of the Government of Nepal.  Using WHO benchmarks, I2C Ilam is still considered highly cost-effective or cost-effective, depending on the batch assessed and disability weights used.

Longer-term outlooks for incorporation into the government system and sustainability through local systems are good from the perspective of cost-effectiveness and financial sustainability, in that the program is designed to be sustainable and shows evidence in batches 1 and 2 of being so. Additionally, planned changes to the program for the replication strengthen sustainability even further.