Question to the Department for International Development:

To ask the Secretary of State for International Development, what assessment she has made of the cost effectiveness of (a) cataract surgery, (b) correction of refractive error, (c) interventions against trachoma and (d) other public health interventions.

DFID uses evidence on the cost-effectiveness of health interventions to inform DFID investment decisions. This includes the World Health Organisation CHOICE (CHOosing Interventions that are Cost-Effective) project that provides detailed cost-effectiveness estimates of a large number of interventions to reduce risks to health, including many causes of blindness. DFID’s aim is to maximise health gains through targeted, cost-effective health interventions that are delivered through strengthened, more efficient and effective health systems.

Every DFID project is rigorously appraised before approval. During implementation each project is regularly monitored to examine whether the targeted results are on track, whether the project represents value for money and remains cost effective, and what, if any, corrective action needs to be undertaken. DFID considers alternative approaches and cost-effectiveness, amongst other factors, whenever we make an investment. The best value for money in a given country at a given time will depend on many factors, including the local context and what others are doing.