This report presents the findings of the cost-effectiveness of the IYCF and CMAM interventions supported by the WINNN programme. Cost-effectiveness is evaluated over the duration of the programme both from a health service and a societal perspective using incremental cost-effectiveness ratios (ICER) calculated for two outcome measures – disability-adjusted life years (DALYs) and lives saved. The analysis involved evaluating the impact of interventions on both costs and outcomes under two different scenarios (with or without WINNN supported interventions) to assess whether the best possible outcome was obtained with a given budget.

The cost-effectiveness results of the CMAM programme for the WINNN programme compare well with estimates in recent studies of CMAM programmes in northern Nigeria and elsewhere and is considered ‘very cost-effective- using the World Health Organization’s (WHO) CHOICE model threshold for cost-effectiveness. A similar comparison cannot be conducted for the IYCF programme due a lack of existing evidence. However, the study finds that WINNN, CMAM and IYCF interventions have much lower cost per DALY averted compared to many other interventions that are competing for the health care budget.

A summary of the report is available here.

Suggested Citation: Ali, S., Vargas, P., Keen, S. (2017), ‘Cost Effectiveness of the WINNN Programme: Operations Research and Impact Evaluation’, Oxford Policy Management, Oxford, UK