Modelling cost and effectiveness of alternative health strategies

This strategy features in the framework of Agenda 21 as formulated at UNCED (Rio de Janeiro, 1992), now coordinated by the United Nations Commission on Sustainable Development and implemented through national and local authorities.

1. Decision-making models should be further developed and more widely used to assess the cost and the health and environmental impact of alternative technologies and strategies. Improvement in urban development and management requires better national and municipal statistics based on practical, standardized indicators. Development of methods is a priority for the measurement of intra-urban and intra-district variations in health status and environmental conditions, and for the application of this information in planning and management.

1. Researching public health
2. Clarifying alternative development systems
3. Assessing costs

1. Developing indicators for assessing health programmes
2. Assessing cost and benefits of different development policies for human and environmental health

1. Supporting traditional health care
2. Reducing cost of drugs
3. Assessing financing to reduce health risks from environmental pollution and hazards

1. Inappropriate managed care regimes

1. Ineffectiveness
2. Health
3. Effectiveness
4. Costliness