Scaling-up a new socio-mental health service model in Iran to reduce burden of neuropsychiatric disorders: an economic evaluation study

Abstract Background The integration of core packages mental health care into routine primary has been introduced as an effective way to achieve universal coverage in care. Based on the transition Iran, from introducing basic PHC experience community-based centers for urban areas, a new socio-mental service model so far proposed. This study aimed estimate impact scaling-up at national level well its associated costs. Methods was cost-consequence analysis following One Health Tool methodology. data required were collected first quarter year 2020 with time horizon 2030. selected metric summarizing effects is healthy life years gained. Resources used terms drug and supply, staff salaries outpatient visits documented costs subsequently estimated order average cost each intervention per case. Results impacts are calculated gained 2020–2030, after adjusting prevalence incidence rates disorder. In total, 1,702,755 expected be Considering total 1,363,581,654 US dollars base case scenario, will around 801 dollars. WHO criteria cost-effectiveness threshold, all values ranged 724 1119 obtained through eight different scenarios considered cost-effective given GDP capita 5550 Iran 2018. Conclusions Mental budget equals about three percent expenditure while 1.73 dollar which relatively low considering share MNS disorders burden diseases. results current showing 16.4 scaling up this comprehensive can convince high-level policy-makers increase accordingly. present demonstrated that services not substantial compared Iran.