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  • Title: A cost-benefit analysis of an advocacy project to fluoridate toothpastes in Nepal.
    Author: Yee R, McDonald N, Walker D.
    Journal: Community Dent Health; 2004 Dec; 21(4):265-70. PubMed ID: 15617410.
    Abstract:
    OBJECTIVES: The aim of this paper is to provide a limited cost-benefit analysis of a health promotion project based on advocacy to increase the availability and consumption of fluoride toothpaste. BASIC RESEARCH DESIGN: The cost-benefit analysis method uses the cost-of-illness approach to analyse the costs and benefits of the health promotion project. SETTING: The setting for the health promotion project was the country of Nepal. PARTICIPANTS: A sub-set of the population (6-18 year-olds) was used to compute the financial burden of treating projected caries in the permanent dentition. INTERVENTIONS: The paper compares the projected effect of fluoride toothpaste versus non-fluoride toothpaste on the financial burden of dental caries for a sub-set of the Nepali population over a period of 6 years. OUTCOME MEASURES: The net present value (NPV) and the benefit-cost ratio are the main outcome measures. RESULTS: Over a period of 6 years the NPV was US dollar 594,466 for a projected 10% reduction in dental caries of this population group as a result of fluoridation of toothpastes: US dollar 1,035,640 for a projected 20% reduction; and US dollar 2,442,333 for a projected 40% reduction in caries increment. For every US dollar 1 spent on the advocacy project to increase the availability and consumption of fluoride toothpaste, there is a potential saving in the direct cost of treating caries ranging from US dollar 87 to US dollar 356. CONCLUSIONS: The cost benefit analysis presented shows the project was efficient. Tangible benefits resulting from the intervention of fluoride toothpaste were quantified as well as the risks from having no intervention.
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