The Guide to Cost-Benefit Analysis of Health Capital Projects provides a framework for evaluating major health infrastructure investments such as hospitals, clinics, and medical facilities. The guidance supports decision-makers in assessing whether proposed projects deliver sufficient economic and social benefits compared to their costs. It outlines key principles, concepts, and methodological steps for conducting a Cost-Benefit Analysis (CBA), ensuring consistent and transparent evaluation of capital proposals. The approach identifies and quantifies direct and indirect costs, estimates expected health and system benefits, and converts outcomes into monetary values to allow comparison across alternatives. The guide also emphasizes identifying project objectives, defining baseline scenarios, forecasting costs and benefits, and assessing distributional impacts among stakeholders. By calculating indicators such as Net Present Value and Benefit–Cost Ratio, the framework helps determine whether a health infrastructure investment is economically justified and supports evidence-based health system planning.
