title: Cost and cost-effectiveness analysis of a community mobilisation intervention to reduce intimate partner violence in Kampala, Uganda.
abstract: BACKGROUND
  Intimate partner violence (IPV) poses a major public health concern. To date there are few rigorous economic evaluations of interventions aimed at preventing IPV in low-income settings. This study provides a cost and cost effectiveness analysis of SASA!, a community mobilisation intervention to change social norms and prevent IPV.
  
  
  METHODS
  An economic evaluation alongside a cluster randomised controlled trial. Both financial and economic costs were collected retrospectively from the provider's perspective to generate total and unit cost estimates over four years of intervention programming. Univariate sensitivity analysis is conducted to estimate the impact of uncertainty in cost and outcome measures on results.
  
  
  RESULTS
  The total cost of developing the SASA! Activist Kit is estimated as US$138,598. Total intervention costs over four years are estimated as US$553,252. The annual cost of supporting 351 activists to conduct SASA! activities was approximately US$389 per activist and the average cost per person reached in intervention communities was US$21 over the full course of the intervention, or US$5 annually. The primary trial outcome was past year experience of physical IPV with an estimated 1201 cases averted (90% CI: 97-2307 cases averted). The estimated cost per case of past year IPV averted was US$460.
  
  
  CONCLUSIONS
  This study provides the first economic evaluation of a community mobilisation intervention aimed at preventing IPV. SASA! unit costs compare favourably with gender transformative interventions and support services for survivors of IPV.
  
  
  BACKGROUND
  ClinicalTrials.gov # NCT00790959.
authors.affiliation: London School of Hygiene & Tropical Medicine, London, UK. christine.michaels-igbokwe@lshtm.ac.uk.
authors.forename: Christine
authors.initials: C
authors.lastname: Michaels-Igbokwe
authors.affiliation: London School of Hygiene & Tropical Medicine, London, UK.
authors.forename: Tanya
authors.initials: T
authors.lastname: Abramsky
authors.affiliation: London School of Hygiene & Tropical Medicine, London, UK.
authors.forename: Karen
authors.initials: K
authors.lastname: Devries
authors.affiliation: London School of Hygiene & Tropical Medicine, London, UK.
authors.forename: Lori
authors.initials: L
authors.lastname: Michau
authors.affiliation: London School of Hygiene & Tropical Medicine, London, UK.
authors.forename: Tina
authors.initials: T
authors.lastname: Musuya
authors.affiliation: London School of Hygiene & Tropical Medicine, London, UK.
authors.forename: Charlotte
authors.initials: C
authors.lastname: Watts
mesh_terms: D000293:Adolescent; D000328:Adult; D003153:Community Health Services / Q000191:economics*; D003362:Cost-Benefit Analysis; D005260:Female; D006801:Humans; D000066511:Intimate Partner Violence / Q000517:prevention & control*; D008297:Male; D008875:Middle Aged; D011204:Poverty Areas; D015397:Program Evaluation; D012189:Retrospective Studies; D066262:Social Norms; D014454:Uganda; D055815:Young Adult