Economic assessment of a women's group intervention to improve birth outcomes in rural Nepal

被引:67
作者
Borghi, J
Thapa, B
Osrin, D
Jan, S
Morrison, J
Tamang, S
Shrestha, BP
Wade, A
Manandhar, DS
Costello, AMD
机构
[1] Univ London London Sch Hyg & Trop Med, Infect Dis & Epidemiol Unit, London WC1E 7HT, England
[2] UCL, Inst Child Hlth, Int Perinatal Care Unit, London WC1N 1EH, England
[3] Mother & Infant Res Act, Kathmandu, Nepal
[4] Univ London London Sch Hyg & Trop Med, Hlth Policy Unit, London WC1E 7HT, England
关键词
D O I
10.1016/S0140-6736(05)67758-6
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
We did a cost-effectiveness analysis alongside a cluster-randomised controlled trial of a participatory intervention with women's groups to improve birth outcomes in rural Nepal. The average provider cost of the women's group intervention was US $0.75 per person per year ($0.90 with health-service strengthening) in a population of 86 704. The incremental cost per life-year saved (LYS) was $211 ($251), and expansion could rationalise on start-up costs and technical assistance, reducing the cost per LYS to $138 ($179). Sensitivity analysis showed a variation from $83 to $263 per LYS for most variables. This intervention could provide a cost-effective way of reducing neonatal deaths.
引用
收藏
页码:1882 / 1884
页数:3
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