Cost Analysis of Community-Based Smoking Cessation Services in Vietnam: A Cluster-Randomized Trial

Vu Quynh Mai, Hoang Van Minh, Nguyen Truong Nam, Hoang Thao Anh, Nguyen Minh Van, Nguyen Thi Trang, Donna Shelley

Research output: Contribution to journalArticlepeer-review


The study aimed to estimate the cost for developing and implementing 2 smoking cessation service delivery models that were evaluated in a 2-arm cluster randomized trial in Commune Health Centers (CHCs) in Vietnam. In the first model (4As) CHC providers were trained to ask about tobacco use, advise smokers to quit, assess readiness to quit, and assist with brief counseling. The second model included the 4As plus a referral to Village Health Workers (VHWs) who were trained to provide multisession home-based counseling (4As + R). An activity-based ingredients (ABC-I) costing approach with a healthcare provider perspective was applied to collect the costs for each intervention model. Opportunity costs were excluded. Costs during preparation and implementation phase were estimated. Sensitivity analysis of the cost per smoker with the included intervention’ activities were conducted. The cost per facility-based counseling session ranged from USD 9 to USD 11. Cost per home-based counseling session at 4As + R model was USD 4. The non-delivery cost attributed to supportive activities (eg, Monitoring, Logistic, Research, General training) was USD 107 per counseling session. Cost per smoker ranged from USD 6 to USD 451. The study analyzed and compared cost of implementing and scaling community-based smoking cessation service models in Vietnam.

Original languageEnglish (US)
JournalHealth Services Insights
StatePublished - 2021


  • Cost
  • Vietnam
  • primary health care
  • tobacco cessation

ASJC Scopus subject areas

  • Health Policy
  • Public Health, Environmental and Occupational Health


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