Great question :) So this model used accounts for multiple different types of alleviated health burden from each year free from IPV. Specifically, each year free from IPV prevents chronic conditions that cause disability that lasts many years, femicide, as well as acute issues within that year itself. That would explain why 1 year free from IPV can be more than 1, and in this case roughly converts to 2.5 DALYs.
Thank you for the explanation! I sincerely appreciate, since I realized that my question could be perceived as trolling or nitpicking on the cost-effectiveness estimates. My intention is rather to understand better the impact of these interventions. Also, these DALY calculations are just hard (at least for me).
I think the answer makes sense.
Do you have a reference to the model that you’ve used (pardon if I missed the link)? I would be interested to look at it in a bit more detail. For example, my gut feeling is that a single or a few instances of IPV might already cause chronic damages; and so to avoid this damage we would be interested more in IPV-free lives than IPV-free years.
EDITED to add: On the other hand, it would seem likely that the effect of an intervention lasts for longer than a year, and thus that the beneficiaries would benefit from a reduced IPV risk for much of their lives.
Great question :) So this model used accounts for multiple different types of alleviated health burden from each year free from IPV. Specifically, each year free from IPV prevents chronic conditions that cause disability that lasts many years, femicide, as well as acute issues within that year itself. That would explain why 1 year free from IPV can be more than 1, and in this case roughly converts to 2.5 DALYs.
Thank you for the explanation! I sincerely appreciate, since I realized that my question could be perceived as trolling or nitpicking on the cost-effectiveness estimates. My intention is rather to understand better the impact of these interventions. Also, these DALY calculations are just hard (at least for me).
I think the answer makes sense.
Do you have a reference to the model that you’ve used (pardon if I missed the link)? I would be interested to look at it in a bit more detail. For example, my gut feeling is that a single or a few instances of IPV might already cause chronic damages; and so to avoid this damage we would be interested more in IPV-free lives than IPV-free years.
EDITED to add: On the other hand, it would seem likely that the effect of an intervention lasts for longer than a year, and thus that the beneficiaries would benefit from a reduced IPV risk for much of their lives.