Disclosure: I discussed this with OP (Mikołaj) previous to it being posted.
Low confidence in what I am saying being correct, I am brand new to this area and trying to get my head around it.
Yes, we can fix this fairly easily. We should decrease the number of DALYs gained from interventions (or components of interventions) that saves lives by roughly 10%.
I agree this is not a bad way to fix post-hoc. One concern I would have using this model going forward, is that you may overweight interventions that leave the beneficiary with some sort of long lasting disability.
Take the example of administering snakebite anti-venom, if we assumed that 1⁄2 of beneficiaries that counterfactually survive are likely to have lost a limb, if you don’t account for that in your DALY’s averted, then snakebite anti-venom’s DALYs averted will be artificially inflated compared to an interventions who’s counterfactual beneficiaries don’t have high levels of Years Lived with Disability.
Disclosure: I discussed this with OP (Mikołaj) previous to it being posted.
Low confidence in what I am saying being correct, I am brand new to this area and trying to get my head around it.
I agree this is not a bad way to fix post-hoc. One concern I would have using this model going forward, is that you may overweight interventions that leave the beneficiary with some sort of long lasting disability.
Take the example of administering snakebite anti-venom, if we assumed that 1⁄2 of beneficiaries that counterfactually survive are likely to have lost a limb, if you don’t account for that in your DALY’s averted, then snakebite anti-venom’s DALYs averted will be artificially inflated compared to an interventions who’s counterfactual beneficiaries don’t have high levels of Years Lived with Disability.