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    Cost data were provided by countries in their local currencies and were converted to 2004 United States dollars (US$).When an input price was reported in US$ for a tradable good (such as medicines), we used the US$ deflation rate.In relation to programme costs, generic questions were included about the number of community health workers needed and their remuneration.In addition, the survey included country-specific questions on information, education and communication activities, as well as on the organization of health worker training, infrastructure and equipment.Updated and improved global data on child health have recently become available.Also available now are updated estimates on the prevalence of malnutrition; new intervention coverage estimates made available by Countdown-to-2015 This paper reports on the results of this country-level empirical validation process, for which we use country feedback data in conjunction with new, published global data on epidemiology and prices.More details are provided in Appendix C, available at: self-administered questionnaire was developed and sent to WHO experts based in 32 countries with high child mortality in all 6 WHO regions (Appendix A).

    It was not feasible to validate every single assumption in the original model, so our questions referred to cost drivers, defined as follows.Additional costs were calculated through nine model scenarios that assessed the effects of: (i) the validation and of updated epidemiologic and coverage data; (ii) population change and scale-up sensitivity ranges; and (iii) updated unit price estimates.These cross-validated results were subsequently extrapolated to 75 countries. Department of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, United States of America.In an effort to support the countries in greatest need, WHO’s Department of Child and Adolescent Health and Development (CAH) has identified 33 countries (Appendix A, available at: that together contribute 78% of all deaths among children under 5 years of age.The survey showed the country-specific values used for the original calculations and prompted respondents to review each one and to explicitly indicate if they agreed or disagreed with these estimates.Respondents who disagreed with the original assumption were asked to provide alternative data and their sources (Appendix A).Programme costs are expenses incurred at the district, province or country administrative level (e.g.in-service training for health workers or information, education and communication activities).It presents a validated and revised global price tag for the scale-up of child survival interventions required to attain MDG4 and serves as an investment guide for governments and their development partners.We used the original cost projection developed by WHO to derive the 2007 global price tag for child survival.The respondents liaised with ministry of health officials responsible for child health to jointly review the costing assumptions and input data used by WHO to derive cost estimates.Involvement of child health staff at the ministries was intended to ensure that the replies obtained were nationally representative and in line with national policies. This calls for a scale-up of child survival interventions, whose global cost the World Health Organization (WHO) recently estimated for 75 countries that have a high burden of mortality among children aged less than five years.

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