The goals of this framework are (1) to incorporate the full scope of benefits into the value of interventions so that in addition to health benefits and harms, the benefits and harms from community well-being and community process are included; (2) to emphasize that value requires a comparison of the benefits and harms of an intervention with the resources used for that intervention; (3) allow the specific characteristics and context of individual communities to be reflected in the valuation of community-based prevention; (4) to promote the quantification of value in terms of projected or actual changes due to the intervention; and (5) to encourage the development of evidence so as to make understanding the effects of interventions easier and more reliable.

The committee’s proposed framework for assessing the value of community-based prevention is shown in schematic form in Figure 5-1. For the assessment of value, the framework proposes a comprehensive consideration of benefits and harms in the context of health, community well-being, and community process as well as an inclusive and comprehensive consideration of the resources used.

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FIGURE 5-1 Conceptual framework for valuing community-based prevention interventions.



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