title: Programme costing of a physical activity programme in primary prevention: should the costs of health asset assessment and participatory programme development count?
abstract: This analysis aims to discuss the implications of the "health asset concept", introduced by the WHO, and the "investment for health model" requiring a "participatory approach" of cooperative programme development applied on a physical activity programme for socially disadvantaged women and to demonstrate the related costing issues as well as the relevant decision context. The costs of programme implementation amounted to €48,700. Adding the costs for developing the programme design of €48,800 results in total costs of €97,500; adding on top of that the costs of asset assessment running to €35,600 would total €133,100. These four different cost figures match four different types of potentially relevant decisions contexts. Depending on the decision context the total costs, and hence the incremental cost-effectiveness ratio of a health promotion intervention, could differ considerably. Therefore, a detailed cost assessment and the identification of the decision context are of crucial importance.
authors.affiliation: Helmholtz Zentrum München, German Research Center for Environmental Health, Institute of Health Economics and Health Care Management, Ingolstädter Land Straße 1, 85764 Neuherberg, Germany.
authors.forename: Silke B
authors.initials: SB
authors.lastname: Wolfenstetter
authors.forename: Bernd
authors.initials: B
authors.lastname: Schweikert
authors.forename: Jürgen
authors.initials: J
authors.lastname: John