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Cost-effectiveness of a direct to beneficiary mobile communication programme in improving reproductive and child health outcomes in India
INTRODUCTION: Kilkari is the largest maternal messaging programme of its kind globally. Between its initiation in 2012 in Bihar and its transition to the government in 2019, Kilkari was scaled to 13 states across India and reached over 10 million new and expectant mothers and their families. This st...
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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BMJ Publishing Group
2023
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10175950/ https://www.ncbi.nlm.nih.gov/pubmed/36958740 http://dx.doi.org/10.1136/bmjgh-2022-009553 |
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author | LeFevre, Amnesty Elizabeth Mendiratta, Jai Jo, Youngji Chamberlain, Sara Ummer, Osama Miller, Molly Scott, Kerry Shah, Neha Chakraborty, Arpita Godfrey, Anna Dutt, Priyanka Mohan, Diwakar |
author_facet | LeFevre, Amnesty Elizabeth Mendiratta, Jai Jo, Youngji Chamberlain, Sara Ummer, Osama Miller, Molly Scott, Kerry Shah, Neha Chakraborty, Arpita Godfrey, Anna Dutt, Priyanka Mohan, Diwakar |
author_sort | LeFevre, Amnesty Elizabeth |
collection | PubMed |
description | INTRODUCTION: Kilkari is the largest maternal messaging programme of its kind globally. Between its initiation in 2012 in Bihar and its transition to the government in 2019, Kilkari was scaled to 13 states across India and reached over 10 million new and expectant mothers and their families. This study aims to determine the cost-effectiveness of exposure to Kilkari as compared with no exposure across 13 states in India. METHODS: The study was conducted from a programme perspective using an analytic time horizon aligned with national scale-up efforts from December 2014 to April 2019. Economic costs were derived from the financial records of implementing partners. Data on incremental changes in the practice of reproductive maternal newborn and child health (RMNCH) outcomes were drawn from an individually randomised controlled trial in Madhya Pradesh and inputted into the Lives Saved Tool to yield estimates of maternal and child lives saved. One-way and probabilistic sensitivity analyses were carried out to assess uncertainty. RESULTS: Inflation adjusted programme costs were US$8.4 million for the period of December 2014–April 2019, corresponding to an average cost of US$264 298 per year of implementation in each state. An estimated 13 842 lives were saved across 13 states, 96% among children and 4% among mothers. The cost per life saved ranged by year of implementation and with the addition of new states from US$392 ($385–$393) to US$953 ($889–$1092). Key drivers included call costs and incremental changes in coverage for key RMNCH practices. CONCLUSION: Kilkari is highly cost-effective using a threshold of India’s national gross domestic product of US$1998. Study findings provide important evidence on the cost-effectiveness of a national maternal messaging programme in India. TRIAL REGISTRATION: NCT03576157. |
format | Online Article Text |
id | pubmed-10175950 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | BMJ Publishing Group |
record_format | MEDLINE/PubMed |
spelling | pubmed-101759502023-05-13 Cost-effectiveness of a direct to beneficiary mobile communication programme in improving reproductive and child health outcomes in India LeFevre, Amnesty Elizabeth Mendiratta, Jai Jo, Youngji Chamberlain, Sara Ummer, Osama Miller, Molly Scott, Kerry Shah, Neha Chakraborty, Arpita Godfrey, Anna Dutt, Priyanka Mohan, Diwakar BMJ Glob Health Original Research INTRODUCTION: Kilkari is the largest maternal messaging programme of its kind globally. Between its initiation in 2012 in Bihar and its transition to the government in 2019, Kilkari was scaled to 13 states across India and reached over 10 million new and expectant mothers and their families. This study aims to determine the cost-effectiveness of exposure to Kilkari as compared with no exposure across 13 states in India. METHODS: The study was conducted from a programme perspective using an analytic time horizon aligned with national scale-up efforts from December 2014 to April 2019. Economic costs were derived from the financial records of implementing partners. Data on incremental changes in the practice of reproductive maternal newborn and child health (RMNCH) outcomes were drawn from an individually randomised controlled trial in Madhya Pradesh and inputted into the Lives Saved Tool to yield estimates of maternal and child lives saved. One-way and probabilistic sensitivity analyses were carried out to assess uncertainty. RESULTS: Inflation adjusted programme costs were US$8.4 million for the period of December 2014–April 2019, corresponding to an average cost of US$264 298 per year of implementation in each state. An estimated 13 842 lives were saved across 13 states, 96% among children and 4% among mothers. The cost per life saved ranged by year of implementation and with the addition of new states from US$392 ($385–$393) to US$953 ($889–$1092). Key drivers included call costs and incremental changes in coverage for key RMNCH practices. CONCLUSION: Kilkari is highly cost-effective using a threshold of India’s national gross domestic product of US$1998. Study findings provide important evidence on the cost-effectiveness of a national maternal messaging programme in India. TRIAL REGISTRATION: NCT03576157. BMJ Publishing Group 2023-03-23 /pmc/articles/PMC10175950/ /pubmed/36958740 http://dx.doi.org/10.1136/bmjgh-2022-009553 Text en © Author(s) (or their employer(s)) 2023. Re-use permitted under CC BY. Published by BMJ. https://creativecommons.org/licenses/by/4.0/This is an open access article distributed in accordance with the Creative Commons Attribution 4.0 Unported (CC BY 4.0) license, which permits others to copy, redistribute, remix, transform and build upon this work for any purpose, provided the original work is properly cited, a link to the licence is given, and indication of whether changes were made. See: https://creativecommons.org/licenses/by/4.0/. |
spellingShingle | Original Research LeFevre, Amnesty Elizabeth Mendiratta, Jai Jo, Youngji Chamberlain, Sara Ummer, Osama Miller, Molly Scott, Kerry Shah, Neha Chakraborty, Arpita Godfrey, Anna Dutt, Priyanka Mohan, Diwakar Cost-effectiveness of a direct to beneficiary mobile communication programme in improving reproductive and child health outcomes in India |
title | Cost-effectiveness of a direct to beneficiary mobile communication programme in improving reproductive and child health outcomes in India |
title_full | Cost-effectiveness of a direct to beneficiary mobile communication programme in improving reproductive and child health outcomes in India |
title_fullStr | Cost-effectiveness of a direct to beneficiary mobile communication programme in improving reproductive and child health outcomes in India |
title_full_unstemmed | Cost-effectiveness of a direct to beneficiary mobile communication programme in improving reproductive and child health outcomes in India |
title_short | Cost-effectiveness of a direct to beneficiary mobile communication programme in improving reproductive and child health outcomes in India |
title_sort | cost-effectiveness of a direct to beneficiary mobile communication programme in improving reproductive and child health outcomes in india |
topic | Original Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10175950/ https://www.ncbi.nlm.nih.gov/pubmed/36958740 http://dx.doi.org/10.1136/bmjgh-2022-009553 |
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