Comment author: JamesSnowden 02 July 2016 11:39:13AM 1 point [-]

1) Ah yes - thanks for pointing out. Probably has limited external validity for the strongminds model though (which is psychosocial treatment alone for most patients delivered by community health workers, with only the most serious cases referred to clinics for medication). The numbers come from the Chisholm (2015) WHO-CHOICE model.

2) Analysis is here

[This is quick and dirty but gives a rough indication of cost-effectiveness. Most uncertain assumption is the long term impact of interpersonal group therapy on treated individuals 1-10 years down the line]

3) On the 'bednets' sheet you can see that the output measure is cost per under 5 child death averted. DALYs are then backcalculated from this to get c.$100 [not in sheet] . Something like $3,500 / 50 years of life for each death averted = c.$70/DALY. Because they're only looking at deaths, it's YLL not YLD. I haven't seen a quantitative estimate of the total morbidity burden of malaria. One important consequence of surviving severe (cerebral) malaria is a much higher chance of getting epilepsy later in life although I suspect there are many others. Child health is really important!

Also - could you specify what you mean by mental health being 10-18 times worse than we think. Does this mean: a) DALY weighting of severe depression is 0.65. Actually it should be 6.5 (so 6.5x worse than death. seems implausible) or b) Life with severe depression is worth 0.35 of healthy life. Actually it should be 0.035 (so 1 year of healthy life is worth c.30 years of life with severe depression. maybe but this seems like a lot)

Comment author: LTengberg 08 February 2017 06:15:58PM 0 points [-]

Hi James!

Your comments to this blog post are very much appreciated - thank you for contributing.

We are a group of students at Oxford University doing a research project where we are trying to find the most effective charity to donate to (see We are currently looking into StrongMinds, and found your helpful cost-effectiveness model. If we may ask, we were wondering if possibly you have a more up-to-date / complete version of the same? And possibly also ask which inputs you received from StrongMinds vs. inputs estimated (and if so, how those estimates were made)?

Completely understandable if you don't have time to answer all questions, but truly any feedback from you at all would be greatly appreciated.

Please do let us know. Many many thanks!