An Economic Evaluation of the Parent–Child Assistance Program for Preventing Fetal Alcohol Spectrum Disorder in Alberta, Canada

  • Nguyen Xuan ThanhEmail author
  • Egon Jonsson
  • Jessica Moffatt
  • Liz Dennett
  • Anderson W. Chuck
  • Shelley Birchard
Original Article


Parent–Child Assistance Program (P-CAP) is a 3-year home visitation/harm reduction intervention to prevent alcohol exposed births, thereby births with fetal alcohol spectrum disorder, among high-risk women. This article used a decision analytic modeling technique to estimate the incremental cost–effectiveness ratio and the net monetary benefit of the P-CAP within the Alberta Fetal Alcohol Spectrum Disorder Service Networks in Canada. The results indicate that the P-CAP is cost–effective and support placing a high priority not only on reducing alcohol use during pregnancy, but also on providing effective contraceptive measures when a program is launched.


Cost–effectiveness Cost–benefit Fetal alcohol spectrum disorder Parent–child assistance program 



This study is financially supported by Alberta Health. We are grateful to Teresa O’Riordan, Executive Director of the Northwest Central Alberta FASD Network, Dr. Arto Ohinmaa, University of Alberta School of Public Health, and Dr. Philip Jacobs, University of Alberta Dept. of Medicine, for providing valuable information.


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Copyright information

© Springer Science+Business Media New York 2014

Authors and Affiliations

  • Nguyen Xuan Thanh
    • 1
    • 2
    Email author
  • Egon Jonsson
    • 1
    • 2
    • 3
  • Jessica Moffatt
    • 1
  • Liz Dennett
    • 1
    • 2
  • Anderson W. Chuck
    • 1
    • 2
  • Shelley Birchard
    • 4
  1. 1.Institute of Health EconomicsEdmontonCanada
  2. 2.University of AlbertaEdmontonCanada
  3. 3.University of CalgaryCalgaryCanada
  4. 4.Addiction and Mental Health BranchAlberta HealthEdmontonCanada

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