Cost-Utility Analysis (CUA) vs. Cost-Benefit Analysis (CBA) in Public Health Intervention

Assessment: Explain the differences between cost-utility analysis (CUA) and cost-benefit analysis (CBA) and which you think would be more appropriate for an evaluation of a public health intervention targeted at year 10 pupils (age 15-16) at risk of alcohol misuse and to be delivered in schools. Your answer should identify ONE relevant public health intervention for the specified population and health need, in ONE country of your choosing.


This assessment requires you to write a 3000 word essay. Please ensure you:

address the assessment and not write about something else
write in a essay format
are familiar with the marking criteria
observe the word count and word limit requirements
use Harvard referencing or APA (6th)
use a word processor
use Arial font, size 12 with 1.5 line spacing and page numbers


The National Institute of Health and Care Excellence (NICE) recommends the use of quality-adjusted life-years (QALYs) to quantify the effectiveness of health care interventions and a health and social care perspective. In contrast, analysts are recommended to take a wider societal perspective in the evaluation of public health interventions; options for the economic analysis of public health interventions include cost-utility analysis (CUA) and cost-benefit analysis (CBA). It is recommended you read the following publications:

NICE (2018). Guide to the processes of technology appraisal.
NICE (2012). Methods for the development of NICE public health guidance [Chapter 6].
Your choice of intervention and context are important in as far as they frame the discussion of CUA versus CBA. Keep the explanation of the intervention brief, including only the information necessary to justify the choices relevant to the economic evaluation. Your main focus and thus the bulk of the essay, should be on providing a sound and reasoned argument for the application of the chosen economic evaluation approach. You can use tables and figures to illustrate relevant data. Do not exceed the word limit.

Word Count

Assessment marks will be reduced by 10% if the word limit for your assignment is exceeded by more than 10%.

References, tables and appendices should not be included when carrying out a word count. With regard to tables and figures, please be judicious in your use of these and ensure they are fully labelled and accompanied by a commentary & analysis about what the table/figure is illustrating rather than being assumed to be self- evident. Ensure that it is fully integrated into the text that precedes them. This allows the reader to understand why you have included the table/figure and helps the reader know what to focus on when looking at the table/figure.

While references lists are not included in the word count, in-text citations are included.

Additionally, in relation to ‘Empirical – Qualitative Research Studies’ where qualitative data have been collected and analysed, the data emanating from the research and used as ‘quotations’ to substantiate identified themes, will not be included in the word count. However, please ensure that this data is clearly distinguishable (e.g. in italics) from the accompanying analysis.

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