Governance and Fiscal Issues

Selecting an essential package of health services using cost-effectiveness analysis: A manual for professionals in developing countries

This manual provides guidelines to estimate disease burden at the national or regional levels and to calculate cost-effectiveness of alternative packages of health interventions. Results can be used in decision making on how to allocate resources to health care. The methodology will assist public health systems in providing a cost-effective and essential package of health […]

Utilizing PHUND$ and Cost-Benefit Analysis to Evaluate Financial Efficiency at the Local Public Health Unit

Local public health units around the country are under significant financial constraints. Seven counties in the Southeast Central Region of North Dakota established a cross-jurisdictional collaborative to increase financial efficiency through shared delivery of public health services. This paper reports on the cost-benefit analysis instrument designed by the collaborative and the ways it was used […]

What’s Your ROI? A Web-based Tool to Estimate Economic Returns on Investments for Public Health Agency Projects

The Association of State and Territorial Health Officers (ASTHO), through a cooperative agreement with CDC’s Office for State, Tribal, Local, and Territorial Support, developed a web-based tool to calculate the return on investment (ROI) associated with public health agency programs or business improvements. Available online:

Cross-Jurisdictional Resource Sharing in Changing Public Health Landscape: Contributory Factors and Theoretical Explanations ABSTRACT

Cross-jurisdictional resource sharing is a viable and commonly used process to overcome the challenges of new and emerging public health problems within the constraints of restricted budgets. LHDs, particularly smaller LHDs with limited resources, should consider increased resource sharing to address emerging challenges. Available online: