Trautmann, ST;
Xu, Y;
König-Kersting, C;
Patenaude, BN;
Harling, G;
Sié, A;
Bärnighausen, T;
(2021)
Value of statistical life year in extreme poverty: a randomized experiment of measurement methods in rural Burkina Faso.
Population Health Metrics
, 19
, Article 45. 10.1186/s12963-021-00275-y.
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Abstract
BACKGROUND: Value of a Statistical Life Year (VSLY) provides an important economic measure of an individual's trade-off between health risks and other consumption, and is a widely used policy parameter. Measuring VSLY is complex though, especially in low-income and low-literacy communities. METHODS: Using a large randomized experiment (N = 3027), we study methodological aspects of stated-preference elicitation with payment cards (price lists) in an extreme poverty context. In a 2 × 2 design, we systematically vary whether buying or selling prices are measured, crossed with the range of the payment card. RESULTS: We find substantial effects of both the pricing method and the list range on elicited VSLY. Estimates of the gross domestic product per capita multiplier for VSLY range from 3.5 to 33.5 depending on the study design. Importantly, all estimates are economically and statistically significantly larger than the current World Health Organization threshold of 3.0 for cost-effectiveness analyses. CONCLUSIONS: Our results inform design choice in VSLY measurements, and provide insight into the potential variability of these measurements and possibly robustness checks.
| Type: | Article |
|---|---|
| Title: | Value of statistical life year in extreme poverty: a randomized experiment of measurement methods in rural Burkina Faso |
| Location: | England |
| Open access status: | An open access version is available from UCL Discovery |
| DOI: | 10.1186/s12963-021-00275-y |
| Publisher version: | https://doi.org/10.1186/s12963-021-00275-y |
| Language: | English |
| Additional information: | This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
| Keywords: | Burkina Faso, Cost-effectiveness, Extreme poverty, Health risks, Payment cards, Price lists, Value of statistical life year |
| UCL classification: | UCL UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute for Global Health |
| URI: | https://discovery.ucl.ac.uk/id/eprint/10138948 |
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