Cost-Effectiveness of Population-Based Tobacco Control Interventions on the Health Burden of Cardiovascular Diseases in Vietnam

Duyen Thuy Nguyen, Khue Ngoc Luong, Hai Thi Phan, Anh Tuan Tran, Son The Dao, Ak Narayan Poudel, Thang Manh Hoang, Vuong Van Do, Dat Minh Le, Giang Huong Pham, Linh Thuy Nguyen, Anh Tu Duong, Minh Van Hoang

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This study sought to assess the cost-effectiveness of population-based tobacco control interventions, which included health promotion and education, smoke-free models, cessation programs, warning on package, marketing bans, and raising tax. Standardized activity-based costing ingredient approach was applied with the provider perspective to calculate interventions cost from 2013 to 2017. The potential health impacts of the aforementioned interventions were calculated through a Microsoft Excel-based modeling adapted from Higashi et al and Ngalesoni et al. All six population-based tobacco control interventions were highly cost-effective with ranges from 1405 VND (Vietnamese Dong) to 135 560 VND per DALY (disability-adjusted life year) averted. It was identified that raising cigarette taxes and applying health warnings on tobacco packages are the most favorable, cost-effective interventions. The results from this study provide a robust message that calls for increased attention and efforts in developing an appropriate policy agenda, which jointly integrates both political and community-based interventions, to maximize intervention impact on tobacco use.

Original languageEnglish
Pages (from-to)854-860
Number of pages7
JournalAsia-Pacific Journal of Public Health
Issue number8
Early online date25 Mar 2021
Publication statusPublished - 1 Nov 2021
Externally publishedYes

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