REMEDIUMREMEDIUM1561-59362658-3534Joint-Stock Company Chicot173910.32687/1561-5936-2025-29-1-57-63Original ArticleSocio-economic efficiency of investments in the development of public health abroadTurzinPeter S.b71112@yandex.ruTimoshevskyAlexander A.timoshevskijaa@zdrav.mos.ruDerbenevDmitry P.dipald@mail.ruOynotkinovOlga Sh.olga-oynotkinova@yandex.ruResearch Institute for Healthcare Organization and Medical Management of Moscow Healthcare Department, Moscow, Russia151220251576315102025Copyright © 2025,2025The current global trend of national health systems is determined by the fact that investments in citizens own health are considered as an effective mechanism for reducing economic costs and for increasing the level of economic well-being of the country. Considering that health is a fundamental condition for the effective functioning of human potential and plays a key role in socio-economic development, especially in the context of accelerating modernization and digitalization of society, its development is becoming an important factor contributing to an increase in the economic potential of the state. The relevance of this study is due to the importance of the problem of rational use of investments in the development of public health. The article describes investments in physical activity of the population as an important factor in ensuring a healthy lifestyle of the population. It also shows the specifics of the implementation of the state voucher program aimed at reducing the cost of participating in structured physical activity for children.public healthinvestmentssocio-economic efficiencypopulationобщественное здравоохранениеинвестициисоциально-экономическая эффективностьнаселение[Gorchakova NS. Investments in health as a way to minimize economic losses. Economics: yesterday, today, tomorrow. 2021;11(6А):102—111. DOI: 10.34670/AR.2021.62.68.009][Yerakhtina AD. Investments in healthcare, life expectancy and economic growth. ECO. 2019;6:8—25. DOI: 10.30680/ЕСО0131-7652-2019-6-8-25][Ashton K, Schröder-Bäck P, Clemens T, et al. The social value of investing in public health across the life course: a systematic scoping review. BMC Public Health. 2020;20(1):597. DOI: 10.1186/s12889-020-08685-7][Ashton K, Cotter-Roberts A, Clemens T, et al. Advancing the social return on investment framework to capture the social value of public health interventions: semistructured interviews and a review of scoping reviews. Public Health. 2024;226:122—127. DOI: 10.1016/j.puhe.2023.11.004][Ashton K, Parry-Williams L, Dyakova M, Green L. Health impact and social value of interventions, services, and policies: a methodological discussion of health impact assessment and social return on investment methodologies. Front Public Health. 2020;8:49. DOI: 10.3389/fpubh.2020.00049][Kadel R, Stielke A, Ashton K, et al. Social Return on Investment (SROI) of mental health related interventions — a scoping review. Front Public Health. 2022;10:965148. DOI: 10.3389/fpubh.2022.965148][Pinelli M, Manetti S, Lettieri E. Assessing the social and environmental impact of healthcare technologies: towards an extended social return on investment. Int J Environ Res Public Health. 2023;20(6):5224. DOI: 10.3390/ijerph20065224][Stielke A, Ashton K, Cotter-Roberts A, Dyakova M. The social return on investment of physical activity and nutrition interventions-a scoping review. Front Sports Act Living. 2024;5:1296407. DOI: 10.3389/fspor.2023.1296407][Haake S, Quirk H, Bullas A. The impact of parkrun on life satisfaction and its cost-effectiveness: a six-month study of parkrunners in the United Kingdom. PLOS Glob Public Health. 2024;4(10):e0003580. DOI: 10.1371/journal.pgph.0003580][Gosselin V, Boccanfuso D, Laberge S. Social return on investment (SROI) method to evaluate physical activity and sport interventions: a systematic review. Int J Behav Nutr Phys Act. 2020;17(1):26. DOI: 10.1186/s12966-020-00931-w][Nieto I, Mayo X, Davies L, et al. Striving for global consensus: a systematic review of social return on investment applied to physical activity and sport. J Phys Act Health. 2024;21(12):1246—1262. DOI: 10.1123/jpah.2024—0174][Foley BC, Owen KB, Bellew W, et al. Physical activity behaviors of children who register for the universal, state-wide Active Kids voucher: who did the voucher program reach? Int J Environ Res Public Health. 2020;17(16):5691. DOI: 10.3390/ijerph17165691][Macniven R, Foley BC, Owen KB, et al. Physical activity and sport participation characteristics of Indigenous children registered in the Active Kids voucher program in New South Wales. J Sci Med Sport. 2020;23(12):1178—1184. DOI: 10.1016/j.jsams.2020.06.016][Owen KB, Bellew B, Foley BC, et al. Body mass index of children and adolescent participants in a voucher program designed to incentivise participation in sport and physical activity: a cross-sectional study. Prev Med Rep. 20219;22:101349. DOI: 10.1016/j.pmedr.2021.101349][Foley BC, Owen KB, Bauman AE, et al. Effects of the Active Kids voucher program on children and adolescents' physical activity: a natural experiment evaluating a state-wide intervention. BMC Public Health. 2021;21(1):22. DOI: 10.1186/s12889-020-10060-5][Foley BC, Turner N, Owen KB, et al. «It Goes Hand in Hand with Us Trying to Get More Kids to Play» Stakeholder Experiences in a Sport and Active Recreation Voucher Program. Int J Environ Res Public Health. 2023;20(5):4081. DOI: 10.3390/ijerph20054081][Virgona N, Foley BC, Ryan H, et al. 'One hundred dollars is a big help, but to continue, it's a challenge': a qualitative study exploring correlates and barriers to Active Kids voucher uptake in western Sydney. Health Promot J Austr. 2022;33(1):7—18. DOI: 10.1002/hpja.468][Reece LJ, Foley B, Bellew W, et al. Active Kids: evaluation protocol for a universal voucher program to increase children's participation in organised physical activity and sport. Public Health Res Pract. 2021;31(2):30122006. DOI: 10.17061/phrp30122006]