Cost and cost-effectiveness analysis of school-based sexuality education programmes in six countries

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This landmark study on the cost and cost-effectiveness of school-based sexuality education looks at a range of programmes across low-, middle- and high-income countries, including Estonia, India, Indonesia, Kenya, the Netherlands and Nigeria. Though programmes vary widely in terms of design and scale, it is clear that integrated mandatory programmes are more efficient, as are those adapted from existing models. The costs per learner receiving the curriculum in scaled-up, well established programmes range from US$ 6.90 in Nigeria to US$ 32.80 in the Netherlands. Smaller pilot programmes in Kenya and Indonesia indicate significantly higher costs.

The study highlights the cost-effectiveness, and potential cost savings in a context like Estonia, where a national sexuality education programme was rolled out alongside youth-friendly sexual and reproductive health services. Between 2001 and 2009, an estimated 13,490 health events were averted, including 1,970 HIV infections, at a potential lifetime cost of US$67,825 per patient.

Health economist (PhD), Dr Jari Kempers

About the author

Dr Jari Kempers is a senior health economist (PhD) and consultant. He founded Qalys Health Economics in 2007. He helps healthcare policymakers and programme managers to make better plans and decisions by providing technical assistance and strategic advice on health economics and health financing topics.

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