Completed Project

Andhra Pradesh: Health Scenario, Health Systems Interventions and Cost-Benefit Studies

Agency : copenhagen consensus


Andhra Pradesh is one of the progressive states of India. Key health and programme performance indicators of the state like infant mortality rate, maternal mortality rate, and total fertility rate, and antenatal care, institutional delivery, immunization, malnutrition, and couple protection rate are better than the national average. Still, a lot needs to be done to achieve SDG targets in the next 12 years. Andhra Pradesh has been recently created as a new state and, therefore, faces several challenges in terms of reorganizing governance structures and taking appropriate decisions for allocation of funds for rapid and sustainable development. Hence, the objective of this paper is to address the health system problems and identify the best possible interventions for public health investment.

In this context, India Consensus has partnered with the State Government to undertake Cost-Benefit studies of the interventions that had been identified and prioritized through stakeholder consultations. In the health sector, these are

i). Strengthening basic and surgical capacities for reducing maternal and neonatal deaths;

ii). Improving emergency referral management using 108 ambulance services; and

iii). Family planning interventions.

The study findings show that investment made on strengthening basic and surgical capacities for reducing maternal and neonatal deaths, improved emergency referral management using 108 ambulance services in urban and rural areas, and family planning interventions have benefit-cost ratios of 7.3, 16.8, 6.8, and 16 respectively. These analyses reveal that investment in these key health interventions is cost-effective and should help decision making for public health interventions that maximize dividends.