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Economic evaluations highlight low benefit-cost ratios in health, suggesting we should invest more to overcome structural barriers.
Economic evaluations such as Benefit-Cost Analysis (BCA) are often used to guide priority setting. However, in adverse contexts, low benefit-cost ratios (BCR) are often not evidence of weak interventions, but reflections of structural barriers. We should therefore invest more in these cases, to tackle these barriers, rather than less.
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Desmond et al. (2026) studied this question.
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