@article{2c63deadada3439296a76c63bce1fbdd,
title = "Value of statistical life year in extreme poverty: A randomized experiment of measurement methods in rural Burkina Faso",
abstract = "Background Value of a Statistical Life Year (VSLY) provides an important economic measure of an individual's trade-off between health risks and other consumption, and is a widely used policy parameter. Measuring VSLY is complex though, especially in low-income and low-literacy communities. Methods Using a large randomized experiment (N = 3027), we study methodological aspects of stated-preference elicitation with payment cards (price lists) in an extreme poverty context. In a 2 x 2 design, we systematically vary whether buying or selling prices are measured, crossed with the range of the payment card. Results We find substantial effects of both the pricing method and the list range on elicited VSLY. Estimates of the gross domestic product per capita multiplier for VSLY range from 3.5 to 33.5 depending on the study design. Importantly, all estimates are economically and statistically significantly larger than the current World Health Organization threshold of 3.0 for cost-effectiveness analyses. Conclusions Our results inform design choice in VSLY measurements, and provide insight into the potential variability of these measurements and possibly robustness checks.",
keywords = "Value of statistical life year, Health risks, Cost-effectiveness, Payment cards, Price lists, Extreme poverty, Burkina Faso, WILLINGNESS-TO-PAY, CONTINGENT VALUATION, MORTALITY, COST, RISK, STATES",
author = "Trautmann, {Stefan T.} and Yilong Xu and Christian Koenig-Kersting and Patenaude, {Bryan N.} and Guy Harling and Ali Sie and Till Baernighausen",
note = "Funding Information: Open Access funding enabled and organized by Projekt DEAL. Till B{\"a}rnighausen was supported by the Alexander von Humboldt Foundation through the Alexander von Humboldt Professor award, funded by the Federal Ministry of Education and Research; the German Research Foundation; the Wellcome Trust; and from NICHD of NIH (R01-HD084233), NIA of NIH (P01-AG041710), NIAID of NIH (R01-AI124389 and R01-AI112339) as well as FIC of NIH (D43-TW009775). Guy Harling is supported by a fellowship from the Royal Society and the Wellcome Trust [210479/Z/18/Z]. The funding bodies had no role in the design of the study; in the collection, analysis, and interpretation of data, or in writing the manuscript. Christian K{\"o}nig-Kersting was supported by grant F6309 of the Austrian Science Fund FWF.This research was funded in whole, or in part, by the Wellcome Trust [Grant Number 210479/Z/18/Z]. For the purpose of open access, the author has applied a CC BY public copyright license to any Author Accepted Manuscript version arising from this submission. Publisher Copyright: {\textcopyright} 2021, The Author(s).",
year = "2021",
month = nov,
doi = "10.1186/s12963-021-00275-y",
language = "English",
volume = "19",
journal = "Population Health Metrics",
issn = "1478-7954",
publisher = "BioMed Central",
number = "1",
}