2009 Cost Effectiveness Report
The Monthly Impact Report for January-February 2009, which shows PSI’s monthly and year-to-date progress for outputs, products distributed and services provided, and health impact. In these reports and dashboards, we present our health impact by region, country, and product or service.
PSI averted 13.97 million DALYs in 2008, a 44% increase over 2007. Figure 1 shows PSI’s growth in 2008 and the contribution of various initiatives.
PSI had an average net cost per disability-adjusted life year (DALY) of $28.95 in 2008. According to the World Bank, interventions costing $50 or less per DALY averted in low-income settings (and those costing $150 or less in middle-income settings) are highly cost effective.
PSI had an average net cost per disability-adjusted life year (DALY) of $26.98 in 2007. According to the World Bank, interventions costing $50 or less per DALY averted in low-income settings (and those costing $150 or less in middle-income settings) are highly cost-effective. PSI is well below this benchmark.
In 2006, PSI’s work around the world averted an estimated 209,000 HIV infections, 30 million malaria and diarrhea episodes and more than six million unintended pregnancies.
In the past, information useful for identifying and measuring relevant determinants had mostly been gathered from in-country programmers and researchers. This was problematic as scales developed without input from the target audience are less likely to be reliable and valid, limiting data analyses and interpretation and decreasing effectiveness of interventions programs. In addition, the practice contradicts a […]
PSI is unusually focused on the bottom-line impact of its activities. Its philosophy is that although how interventions are done matters, the positive impact they have on the lives of the poor and the vulnerable is more important still. As a result, all interventions are measured and reported — often by a variety of means. […]
This report provides a quantitative measure of PSI program and product efficiency at the global, regional, and country level. This is the first Cost Effectiveness Report (formerly Unit Cost Analysis) that looks at cost per DALY.
This concept paper describes TRaC-M, a method for monitoring exposure to social marketing activities and logical framework indicators efficiently using lot quality assurance sampling. TRaC-M is not a replacement for TRaC, which produces the three population-based tables of the PSI Dashboard. TRaC-M complements TRaC by providing a low cost mechanism for producing the monitoring table […]
This concept paper proposes a revision and expansion of the current PSI Behavior Change Framework known as “Bubbles”. This task is accomplished by discussing the history and limitations of the current framework, introducing new behavior change constructs, updating definitions of behavioral determinants, or bubbles, with examples of operationalized measures, and providing better guidance on the link between theory and […]
This concept paper, written in 2004, proposes a revision and expansion of the PSI Behavior Change Framework known as “Bubbles.” Because PSI programmers and researchers had extensively used “Bubbles” and adapted the names of certain bubbles to meet their research needs, the working definitions of behavioral determinants became inconsistent with the behavior change theories from which they were […]
Objectives: To measure the reach of the “100% Jeune” social marketing campaign and to assess its impact on condom use and on the predictors of condom use. The campaign aims to improve condom use through intensive youth-oriented mass media and interpersonal communications and widespread distribution of subsidized condoms. Data and Methods: We analyze data from […]
This concept paper outlines Project TRaC, a systematic effort launched in 2003 to develop and diffuse throughout PSI tracking surveys for social marketing. These surveys measure repeatedly levels and trends of a standard set of indicators – such as exposure to a social marketing intervention and self-reported risk reducing behaviors. Project TRaC aimed to expand […]
In 2001 alone, PSI activities averted more than 400,000 cases of HIV/AIDS and over 2.2 million unwanted births, and prevented death or debility of tens of thousands, particularly children, from malaria and other common developing country diseases.
Objectives: This study examines factors influencing consistent condom use among sex workers in Nigeria. Such information can help improve the design of intervention campaigns to reduce the spread of HIV among high-risk groups and the general population. Methods: We used a nationally representative sample of 2,578 sex workers collected in 1998. This study uses logistic regression to predict the […]
Objective: To determine whether a mass media campaign to promote the use of the female condom had an impact on intentions to use the female condom among men and women of reproductive age in Tanzania. Methods: We used data on 2712 sexually experienced men and women in Tanzania from an exit survey conducted at outlets […]
As PSI enters the 21st century, we can look back with pride on all we have achieved over the last decade. Our network of nonprofit organizations—now operating in almost 50 developing countries and employing nearly 2,000 people—has shown that social marketing can efficiently deliver large quantities of health products to the poor and can inspire healthier […]
Abstract: Research on African societies documents the magnitude of the HIV/AIDS epidemic, and shows that at younger ages women are more likely to be affected than men. Young African women are particularly vulnerable to HIV infection because sexual relations with men are an important means to achieve social and economic status, and for some women […]
This paper briefly reviews the ethnographic literature on the cultural and religious norms about sexual behavior among Tswana adolescents in Botswana, describes patterns of sexual behavior and discusses explanations for the deviations from the traditional norms using data from the 1995 Population Services International Botswana Adolescent Reproductive Health Survey in conjunction with focus group discussions.
This report examines the evolution of management and organization of contraceptive social marketing (CSM) in Pakistan between 1987-1996, showing how the change in implementing organizations improved sustainability of the activities while also building relationships between stakeholders. Second, the report describes how an increase in contraceptive prices led to a large decline in demand among low-income users. […]