Economies of scale of large-scale international development interventions: Evidence from self-help groups in India

Siwach, Garima; Paul, Sohini; Hoop, Thomas de

doi:10.1016/j.worlddev.2022.105839

Cited by 5 publications

(3 citation statements)

References 38 publications

(45 reference statements)

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“…Finally, the results also potentially reflect economies of scale (See S3 Fig ); the intervention area covered 1.6 million livebirths at a very low unit cost (cost per livebirths) (INT$ 9.4 compared with average unit cost of INT$ 203, range: 2016 INT$ 61–537) [ 12 ] in smaller scale trials of women’s groups ( S2 Table ). As S3 Fig illustrates, unit costs decreased with the increased scale of the intervention, which is in line with conclusion from scale up of SHGs in India, in general [ 42 ].…”

Section: Discussionsupporting

confidence: 83%

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Economic evaluation of participatory women’s groups scaled up by the public health system to improve birth outcomes in Jharkhand, eastern India

Haghparast‐Bidgoli

Ojha

Gope

et al. 2023

PLOS Glob Public Health

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An estimated 2.4 million newborn infants died in 2020, 80% of them in sub-Saharan Africa and South Asia. To achieve the Sustainable Development Target for neonatal mortality reduction, countries with high mortality need to implement evidence-based, cost-effective interventions at scale. Our study aimed to estimate the cost, cost-effectiveness, and benefit-cost ratio of a participatory women’s groups intervention scaled up by the public health system in Jharkhand, eastern India. The intervention was evaluated through a pragmatic cluster non-randomised controlled trial in six districts. We estimated the cost of the intervention at scale from a provider perspective, with a 42-month time horizon for 20 districts. We estimated costs using a combination of top-down and bottom-up approaches. All costs were adjusted for inflation, discounted at 3% per year, and converted to 2020 International Dollars (INT$). Incremental cost-effectiveness ratios (ICERs) were estimated using extrapolated effect sizes for the impact of the intervention in 20 districts, in terms of cost per neonatal deaths averted and cost per life year saved. We assessed the impact of uncertainty on results through one-way and probabilistic sensitivity analyses. We also estimated benefit-cost ratio using a benefit transfer approach. Total intervention costs for 20 districts were INT$ 15,017,396. The intervention covered an estimated 1.6 million livebirths across 20 districts, translating to INT$ 9.4 per livebirth covered. ICERs were estimated at INT$ 1,272 per neonatal death averted or INT$ 41 per life year saved. Net benefit estimates ranged from INT$ 1,046 million to INT$ 3,254 million, and benefit-cost ratios from 71 to 218. Our study suggests that participatory women’s groups scaled up by the Indian public health system were highly cost-effective in improving neonatal survival and had a very favourable return on investment. The intervention can be scaled up in similar settings within India and other countries.

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Section: Discussionsupporting

confidence: 83%

“…Finally, the results also potentially reflect economies of scale (See S3 [12] in smaller scale trials of women's groups (S2 Table ). As S3 Fig illustrates, unit costs decreased with the increased scale of the intervention, which is in line with conclusion from scale up of SHGs in India, in general [42].…”

Section: Plos Global Public Healthsupporting

confidence: 85%

Economic evaluation of participatory women’s groups scaled up by the public health system to improve birth outcomes in Jharkhand, eastern India

Haghparast‐Bidgoli

Ojha

Gope

et al. 2023

PLOS Glob Public Health

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“…In addition, the monetary policies of the superpowers also affect the real output of developing countries (Tumala, Salisu, Atoi, & Yaaba, 2021) . International interventions such as the world bank both in terms of ideas and funds affect the development of Non-Governmental Organizations (NGOs) , this can be seen from the success of several programs in NGOs , one of them is "Jevika" in India (Siwach, Paul, & de Hoop, 2022). The role of the government is very influential on the implementation of a circular economy, where an autocratic government has difficulties in implementing a circular economy and is classified as very slow.…”

Section: Literature Reviewmentioning

confidence: 99%

Impact Of Export Quantity, Oil Production And Tax Revenue On GDP Growth In Russia

Ikhsan¹,

Cholil²

2022

AEBD

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This research investigates the percentage of exports of GDP, Tax Revenue, Production of electricity from oil sources, and Economic growth with GDP growth as an indicator (in percent) in Russia. This study uses a qualitative method with a vector autoregressive model This research employs a research period from 2000 to 2020. We find that economic growth is accelerating positively concerning to tax revenue and consumption of oil-based energy. But taxes suppress economic growth. That is, when economic growth increases, taxes, and oil consumption also increase. However, when taxes increase, it depresses economic growth. Although tax revenues suppress exports, an increase in exports actually increases tax revenues. The increase in exports also boosted oil consumption. Russia's state finances are indirectly affected by the rise and fall of oil prices as one of the commodities that contribute significantly to Russia's exports, which is indicated by the increase in exports pushing Russia's revenue.

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Cooperative membership and exposure to role models: Implications for income and asset aspirations

Tabe-Ojong,

Heckelei,

Baylis

et al. 2023

Journal of Behavioral and Experimental Economics

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Economies of scale of large-scale international development interventions: Evidence from self-help groups in India

Cited by 5 publications

References 38 publications

Economic evaluation of participatory women’s groups scaled up by the public health system to improve birth outcomes in Jharkhand, eastern India

Economic evaluation of participatory women’s groups scaled up by the public health system to improve birth outcomes in Jharkhand, eastern India

Impact Of Export Quantity, Oil Production And Tax Revenue On GDP Growth In Russia

Cooperative membership and exposure to role models: Implications for income and asset aspirations

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