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  1. Book: Is the jury still out on the impact of user fees in Africa

    Hutton, Guy

    A review of the evidence from selected countries on user fees and determinants of health service utilisation

    (The East African medical journal ; 81,4, Suppl.)

    2004  

    Author's details Guy Hutton
    Series title The East African medical journal ; 81,4, Suppl.
    East African medical journal
    Collection East African medical journal
    Language English
    Size S. S45 - S60 S.
    Publisher Kenya Medical Association
    Publishing place Nairobi
    Publishing country Kenya
    Document type Book
    HBZ-ID HT014073442
    Database Catalogue ZB MED Medicine, Health

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  2. Article ; Online: Commentary on: "Reduced burden of childhood diarrheal diseases through increased access to water and sanitation in India: A modelling analysis".

    Hutton, Guy

    Social science & medicine (1982)

    2017  Volume 180, Page(s) 193–195

    MeSH term(s) Child ; Diarrhea/epidemiology ; Humans ; India ; Sanitation ; Toilet Facilities ; Water
    Chemical Substances Water (059QF0KO0R)
    Language English
    Publishing date 2017-03-14
    Publishing country England
    Document type Journal Article ; Comment
    ZDB-ID 4766-1
    ISSN 1873-5347 ; 0037-7856 ; 0277-9536
    ISSN (online) 1873-5347
    ISSN 0037-7856 ; 0277-9536
    DOI 10.1016/j.socscimed.2017.03.017
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article: Global costs and benefits of reaching universal coverage of sanitation and drinking-water supply.

    Hutton, Guy

    Journal of water and health

    2013  Volume 11, Issue 1, Page(s) 1–12

    Abstract: Economic evidence on the cost and benefits of sanitation and drinking-water supply supports higher allocation of resources and selection of efficient and affordable interventions. The study aim is to estimate global and regional costs and benefits of ... ...

    Abstract Economic evidence on the cost and benefits of sanitation and drinking-water supply supports higher allocation of resources and selection of efficient and affordable interventions. The study aim is to estimate global and regional costs and benefits of sanitation and drinking-water supply interventions to meet the Millennium Development Goal (MDG) target in 2015, as well as to attain universal coverage. Input data on costs and benefits from reviewed literature were combined in an economic model to estimate the costs and benefits, and benefit-cost ratios (BCRs). Benefits included health and access time savings. Global BCRs (Dollar return per Dollar invested) were 5.5 for sanitation, 2.0 for water supply and 4.3 for combined sanitation and water supply. Globally, the costs of universal access amount to US$ 35 billion per year for sanitation and US$ 17.5 billion for drinking-water, over the 5-year period 2010-2015 (billion defined as 10(9) here and throughout). The regions accounting for the major share of costs and benefits are South Asia, East Asia and sub-Saharan Africa. Improved sanitation and drinking-water supply deliver significant economic returns to society, especially sanitation. Economic evidence should further feed into advocacy efforts to raise funding from governments, households and the private sector.
    MeSH term(s) Cost-Benefit Analysis ; Drinking Water/standards ; Global Health ; Humans ; Public Health/economics ; Public Health/standards ; Sanitation/economics ; Sanitation/standards ; Water Supply/economics ; Water Supply/standards
    Chemical Substances Drinking Water
    Language English
    Publishing date 2013-03
    Publishing country England
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 2123845-5
    ISSN 1996-7829 ; 1477-8920
    ISSN (online) 1996-7829
    ISSN 1477-8920
    DOI 10.2166/wh.2012.105
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: The economics of health and climate change

    Hutton Guy

    Globalization and Health, Vol 7, Iss 1, p

    key evidence for decision making

    2011  Volume 18

    Abstract: Abstract Background In responding to the health challenges of climate change, those responsible for health policies and resource allocations need to know the resource consequences of their decisions. This article examines the availability and strength of ...

    Abstract Abstract Background In responding to the health challenges of climate change, those responsible for health policies and resource allocations need to know the resource consequences of their decisions. This article examines the availability and strength of economic evidence for policy makers to draw on in making health policy decisions. Methods Relevant literature was obtained using a Medline and INTERNET search of key terms and institutions working in health and climate change. Eighteen available economic studies are presented under three categories of economic evidence: health damage cost, health adaptation cost and health economic evaluation. Results In economic studies valuing the predicted increased mortality from climate change, the health damages represent an important fraction of overall economic losses. Similarly, when considering broader health protection measures beyond the health sector (e.g. agriculture, water supply) health considerations are central. Global adaptation cost studies carried out so far indicate health sector costs of roughly US$2-5 billion annually (mid-estimates). However, these costs are expected to be an underestimate of the true costs, due to omitted health impacts, omitted economic impacts, and the costs of health actions in other sectors. No published studies compare the costs and benefits of specific health interventions to protect health from climate change. Conclusions More economic studies are needed examining the costs and benefits of adaptation measures to inform policy making. There is an urgent need for climate change-specific health economic guidelines to ensure robust methods are used, giving comparable results. Broader advocacy and focused training of decision makers is needed to increase the uptake of economic evidence in decision making. Until further climate change-specific economic studies have been conducted, decision makers should selectively draw on published studies of the costs and benefits of environmental health interventions.
    Keywords Public aspects of medicine ; RA1-1270
    Subject code 360
    Language English
    Publishing date 2011-06-01T00:00:00Z
    Publisher BMC
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  5. Article ; Online: The economics of health and climate change: key evidence for decision making.

    Hutton, Guy

    Globalization and health

    2011  Volume 7, Page(s) 18

    Abstract: Background: In responding to the health challenges of climate change, those responsible for health policies and resource allocations need to know the resource consequences of their decisions. This article examines the availability and strength of ... ...

    Abstract Background: In responding to the health challenges of climate change, those responsible for health policies and resource allocations need to know the resource consequences of their decisions. This article examines the availability and strength of economic evidence for policy makers to draw on in making health policy decisions.
    Methods: Relevant literature was obtained using a Medline and INTERNET search of key terms and institutions working in health and climate change. Eighteen available economic studies are presented under three categories of economic evidence: health damage cost, health adaptation cost and health economic evaluation.
    Results: In economic studies valuing the predicted increased mortality from climate change, the health damages represent an important fraction of overall economic losses. Similarly, when considering broader health protection measures beyond the health sector (e.g. agriculture, water supply) health considerations are central. Global adaptation cost studies carried out so far indicate health sector costs of roughly US$2-5 billion annually (mid-estimates). However, these costs are expected to be an underestimate of the true costs, due to omitted health impacts, omitted economic impacts, and the costs of health actions in other sectors. No published studies compare the costs and benefits of specific health interventions to protect health from climate change.
    Conclusions: More economic studies are needed examining the costs and benefits of adaptation measures to inform policy making. There is an urgent need for climate change-specific health economic guidelines to ensure robust methods are used, giving comparable results. Broader advocacy and focused training of decision makers is needed to increase the uptake of economic evidence in decision making. Until further climate change-specific economic studies have been conducted, decision makers should selectively draw on published studies of the costs and benefits of environmental health interventions.
    Language English
    Publishing date 2011-06-27
    Publishing country England
    Document type Journal Article
    ZDB-ID 2185774-X
    ISSN 1744-8603 ; 1744-8603
    ISSN (online) 1744-8603
    ISSN 1744-8603
    DOI 10.1186/1744-8603-7-18
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article: Air pollution

    Hutton, Guy

    How much have global problems cost the world? : a scorecard from 1900 to 2050 , p. 70-98

    global damage costs from 1900 to 2050

    2013  , Page(s) 70–98

    Author's details Guy Hutton
    Language English
    Size graph. Darst.
    Publisher Cambridge Univ. Press
    Publishing place Cambridge [u.a.]
    Document type Article
    ISBN 978-1-107-67933-7 ; 1-107-67933-8
    Database ECONomics Information System

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  7. Article ; Online: The Knowledge Base for Achieving the Sustainable Development Goal Targets on Water Supply, Sanitation and Hygiene.

    Hutton, Guy / Chase, Claire

    International journal of environmental research and public health

    2016  Volume 13, Issue 6

    Abstract: Safe drinking water, sanitation, and hygiene (WASH) are fundamental to an improved standard of living. Globally, 91% of households used improved drinking water sources in 2015, while for improved sanitation it is 68%. Wealth disparities are stark, with ... ...

    Abstract Safe drinking water, sanitation, and hygiene (WASH) are fundamental to an improved standard of living. Globally, 91% of households used improved drinking water sources in 2015, while for improved sanitation it is 68%. Wealth disparities are stark, with rural populations, slum dwellers and marginalized groups lagging significantly behind. Service coverage is significantly lower when considering the new water and sanitation targets under the sustainable development goals (SDGs) which aspire to a higher standard of 'safely managed' water and sanitation. Lack of access to WASH can have an economic impact as much as 7% of Gross Domestic Product, not including the social and environmental consequences. Research points to significant health and socio-economic consequences of poor nutritional status, child growth and school performance caused by inadequate WASH. Groundwater over-extraction and pollution of surface water bodies have serious impacts on water resource availability and biodiversity, while climate change exacerbates the health risks of water insecurity. A significant literature documents the beneficial impacts of WASH interventions, and a growing number of impact evaluation studies assess how interventions are optimally financed, implemented and sustained. Many innovations in behavior change and service delivery offer potential for scaling up services to meet the SDGs.
    MeSH term(s) Climate Change ; Conservation of Natural Resources/economics ; Humans ; Hygiene/economics ; Knowledge Bases ; Sanitation/economics ; Water Supply/economics
    Language English
    Publishing date 2016-05-27
    Publishing country Switzerland
    Document type Journal Article ; Review
    ISSN 1660-4601
    ISSN (online) 1660-4601
    DOI 10.3390/ijerph13060536
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article: Economic evaluation of environmental health interventions to support decision making.

    Hutton, Guy

    Environmental health insights

    2008  Volume 2, Page(s) 137–155

    Abstract: Environmental burden of disease represents one quarter of overall disease burden, hence necessitating greater attention from decision makers both inside and outside the health sector. Economic evaluation techniques such as cost-effectiveness analysis and ...

    Abstract Environmental burden of disease represents one quarter of overall disease burden, hence necessitating greater attention from decision makers both inside and outside the health sector. Economic evaluation techniques such as cost-effectiveness analysis and cost-benefit analysis provide key information to health decision makers on the efficiency of environmental health interventions, assisting them in choosing interventions which give the greatest social return on limited public budgets and private resources. The aim of this article is to review economic evaluation studies in three environmental health areas-water, sanitation, hygiene (WSH), vector control, and air pollution-and to critically examine the policy relevance and scientific quality of the studies for selecting and funding public programmers. A keyword search of Medline from 1990-2008 revealed 32 studies, and gathering of articles from other sources revealed a further 18 studies, giving a total of 50 economic evaluation studies (13 WSH interventions, 16 vector control and 21 air pollution). Overall, the economic evidence base on environmental health interventions remains relatively weak-too few studies per intervention, of variable scientific quality and from diverse locations which limits generalisability of findings. Importantly, there still exists a disconnect between economic research, decision making and programmer implementation. This can be explained by the lack of translation of research findings into accessible documentation for policy makers and limited relevance of research findings, and the often low importance of economic evidence in budgeting decisions. These findings underline the importance of involving policy makers in the defining of research agendas and commissioning of research, and improving the awareness of researchers of the policy environment into which their research feeds.
    Language English
    Publishing date 2008-12-19
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2452946-1
    ISSN 1178-6302
    ISSN 1178-6302
    DOI 10.4137/ehi.s1152
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article: Economic evidence on the health impacts of climate change in europe.

    Hutton, Guy / Menne, Bettina

    Environmental health insights

    2014  Volume 8, Page(s) 43–52

    Abstract: Background: In responding to the health impacts of climate change, economic evidence and tools inform decision makers of the efficiency of alternative health policies and interventions. In a time when sweeping budget cuts are affecting all tiers of ... ...

    Abstract Background: In responding to the health impacts of climate change, economic evidence and tools inform decision makers of the efficiency of alternative health policies and interventions. In a time when sweeping budget cuts are affecting all tiers of government, economic evidence on health protection from climate change spending enables comparison with other public spending.
    Methods: The review included 53 countries of the World Health Organization (WHO) European Region. Literature was obtained using a Medline and Internet search of key terms in published reports and peer-reviewed literature, and from institutions working on health and climate change. Articles were included if they provided economic estimation of the health impacts of climate change or adaptation measures to protect health from climate change in the WHO European Region. Economic studies are classified under health impact cost, health adaptation cost, and health economic evaluation (comparing both costs and impacts).
    Results: A total of 40 relevant studies from Europe were identified, covering the health damage or adaptation costs related to the health effects of climate change and response measures to climate-sensitive diseases. No economic evaluation studies were identified of response measures specific to the impacts of climate change. Existing studies vary in terms of the economic outcomes measured and the methods for evaluation of health benefits. The lack of robust health impact data underlying economic studies significantly affects the availability and precision of economic studies.
    Conclusions: Economic evidence in European countries on the costs of and response to climate-sensitive diseases is extremely limited and fragmented. Further studies are urgently needed that examine health impacts and the costs and efficiency of alternative responses to climate-sensitive health conditions, in particular extreme weather events (other than heat) and potential emerging diseases and other conditions threatening Europe.
    Language English
    Publishing date 2014-11-03
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 2452946-1
    ISSN 1178-6302
    ISSN 1178-6302
    DOI 10.4137/EHI.S16486
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article: The national rural drinking water security pilot project in India

    Weis, David / Hutton, Guy / Kumar, Manish

    Water economics and policy Vol. 3, No. 4 , p. 1-31

    a cost-benefit analysis

    2017  Volume 3, Issue 4, Page(s) 1–31

    Author's details David Weis, Guy Hutton and Manish Kumar
    Keywords India ; water ; sanitation ; cost ; benefit ; health ; environment ; economy
    Language English
    Publisher World Scientific
    Publishing place Singapore
    Document type Article
    ZDB-ID 2920590-6
    Database ECONomics Information System

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