Decision Support · Health Economics

Where should the next health dollar go?

Ministries of health and hospital planners face the same hard question everywhere: with a limited budget, which program saves the most healthy life-years? Wintana's modular cost-effectiveness calculator turns that question into a transparent, adjustable model that answers in minutes, not months.

How it works

Every program — a surgical service, a dialysis center, a vaccination campaign — is described by the same five cost components. The engine does the rest.

Components 1–5

Itemized program costs

Capital equipment, consumables, medications, personnel, and energy — every line item visible and editable, so officials can substitute local prices or zero out equipment they already own.

Scale & outcomes

Adjustable program scale

Set the size of the program — stations, shifts, cases per year — and patient volumes, costs, and DALYs averted recalculate automatically using Global Burden of Disease disability weights.

The verdict

WHO threshold comparison

Results are benchmarked against the WHO willingness-to-pay thresholds of 1× and 3× GNI per capita, with clear visuals showing where every dollar goes.

One engine, many programs

Because the calculator is modular, adapting it to a new service line means swapping the component configuration — not rebuilding the tool. The mathematics, rendering, and threshold logic stay identical and validated.

Pediatric cardiac surgeryThe original calculator, built by our founder: cost per DALY averted of establishing a congenital heart surgery program. Try the published version →
Hemodialysis centerPreviewed below: a 10-year model of an in-center chronic hemodialysis program, sized to any country.
Your program nextCath labs, NICUs, screening programs — if it can be itemized, it can be modeled.

A look inside

Below: the hemodialysis module, one configuration of the engine. Users pick a country income level, size the program, and edit any line item — the verdict updates instantly. Shown here as a preview; the interactive calculator is available on request.

Calculator input screens: country setting, program scale, and itemized capital equipment costs
Setting, scale & itemized costs — every default editable, every quantity sized automatically.
Calculator results: cost per DALY averted, WHO threshold chart, cost composition, and summary table
Results — cost per DALY averted, WHO threshold verdict, and where the money goes.

Want to run it with your numbers?

Access to the interactive calculator — and custom modules for other service lines — is available on request.

Request access