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Economic evaluation of participatory women’s groups scaled up by the public health system to improve birth outcomes in Jharkhand, eastern India

An estimated 2.4 million newborn infants died in 2020, 80% of them in sub-Saharan Africa and South Asia. To achieve the Sustainable Development Target for neonatal mortality reduction, countries with high mortality need to implement evidence-based, cost-effective interventions at scale. Our study ai...

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Autores principales: Haghparast-Bidgoli, Hassan, Ojha, Amit, Gope, Rajkumar, Rath, Shibanand, Pradhan, Hemanta, Rath, Suchitra, Kumar, Amit, Nath, Vikash, Basu, Parabita, Copas, Andrew, Houweling, Tanja A. J., Minz, Akay, Baskey, Pradeep, Ahmed, Manir, Chakravarthy, Vasudha, Mahanta, Riza, Palmer, Tom, Skordis, Jolene, Nair, Nirmala, Tripathy, Prasanta, Prost, Audrey
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10309599/
https://www.ncbi.nlm.nih.gov/pubmed/37384595
http://dx.doi.org/10.1371/journal.pgph.0001128
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author Haghparast-Bidgoli, Hassan
Ojha, Amit
Gope, Rajkumar
Rath, Shibanand
Pradhan, Hemanta
Rath, Suchitra
Kumar, Amit
Nath, Vikash
Basu, Parabita
Copas, Andrew
Houweling, Tanja A. J.
Minz, Akay
Baskey, Pradeep
Ahmed, Manir
Chakravarthy, Vasudha
Mahanta, Riza
Palmer, Tom
Skordis, Jolene
Nair, Nirmala
Tripathy, Prasanta
Prost, Audrey
author_facet Haghparast-Bidgoli, Hassan
Ojha, Amit
Gope, Rajkumar
Rath, Shibanand
Pradhan, Hemanta
Rath, Suchitra
Kumar, Amit
Nath, Vikash
Basu, Parabita
Copas, Andrew
Houweling, Tanja A. J.
Minz, Akay
Baskey, Pradeep
Ahmed, Manir
Chakravarthy, Vasudha
Mahanta, Riza
Palmer, Tom
Skordis, Jolene
Nair, Nirmala
Tripathy, Prasanta
Prost, Audrey
author_sort Haghparast-Bidgoli, Hassan
collection PubMed
description An estimated 2.4 million newborn infants died in 2020, 80% of them in sub-Saharan Africa and South Asia. To achieve the Sustainable Development Target for neonatal mortality reduction, countries with high mortality need to implement evidence-based, cost-effective interventions at scale. Our study aimed to estimate the cost, cost-effectiveness, and benefit-cost ratio of a participatory women’s groups intervention scaled up by the public health system in Jharkhand, eastern India. The intervention was evaluated through a pragmatic cluster non-randomised controlled trial in six districts. We estimated the cost of the intervention at scale from a provider perspective, with a 42-month time horizon for 20 districts. We estimated costs using a combination of top-down and bottom-up approaches. All costs were adjusted for inflation, discounted at 3% per year, and converted to 2020 International Dollars (INT$). Incremental cost-effectiveness ratios (ICERs) were estimated using extrapolated effect sizes for the impact of the intervention in 20 districts, in terms of cost per neonatal deaths averted and cost per life year saved. We assessed the impact of uncertainty on results through one-way and probabilistic sensitivity analyses. We also estimated benefit-cost ratio using a benefit transfer approach. Total intervention costs for 20 districts were INT$ 15,017,396. The intervention covered an estimated 1.6 million livebirths across 20 districts, translating to INT$ 9.4 per livebirth covered. ICERs were estimated at INT$ 1,272 per neonatal death averted or INT$ 41 per life year saved. Net benefit estimates ranged from INT$ 1,046 million to INT$ 3,254 million, and benefit-cost ratios from 71 to 218. Our study suggests that participatory women’s groups scaled up by the Indian public health system were highly cost-effective in improving neonatal survival and had a very favourable return on investment. The intervention can be scaled up in similar settings within India and other countries.
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spelling pubmed-103095992023-06-30 Economic evaluation of participatory women’s groups scaled up by the public health system to improve birth outcomes in Jharkhand, eastern India Haghparast-Bidgoli, Hassan Ojha, Amit Gope, Rajkumar Rath, Shibanand Pradhan, Hemanta Rath, Suchitra Kumar, Amit Nath, Vikash Basu, Parabita Copas, Andrew Houweling, Tanja A. J. Minz, Akay Baskey, Pradeep Ahmed, Manir Chakravarthy, Vasudha Mahanta, Riza Palmer, Tom Skordis, Jolene Nair, Nirmala Tripathy, Prasanta Prost, Audrey PLOS Glob Public Health Research Article An estimated 2.4 million newborn infants died in 2020, 80% of them in sub-Saharan Africa and South Asia. To achieve the Sustainable Development Target for neonatal mortality reduction, countries with high mortality need to implement evidence-based, cost-effective interventions at scale. Our study aimed to estimate the cost, cost-effectiveness, and benefit-cost ratio of a participatory women’s groups intervention scaled up by the public health system in Jharkhand, eastern India. The intervention was evaluated through a pragmatic cluster non-randomised controlled trial in six districts. We estimated the cost of the intervention at scale from a provider perspective, with a 42-month time horizon for 20 districts. We estimated costs using a combination of top-down and bottom-up approaches. All costs were adjusted for inflation, discounted at 3% per year, and converted to 2020 International Dollars (INT$). Incremental cost-effectiveness ratios (ICERs) were estimated using extrapolated effect sizes for the impact of the intervention in 20 districts, in terms of cost per neonatal deaths averted and cost per life year saved. We assessed the impact of uncertainty on results through one-way and probabilistic sensitivity analyses. We also estimated benefit-cost ratio using a benefit transfer approach. Total intervention costs for 20 districts were INT$ 15,017,396. The intervention covered an estimated 1.6 million livebirths across 20 districts, translating to INT$ 9.4 per livebirth covered. ICERs were estimated at INT$ 1,272 per neonatal death averted or INT$ 41 per life year saved. Net benefit estimates ranged from INT$ 1,046 million to INT$ 3,254 million, and benefit-cost ratios from 71 to 218. Our study suggests that participatory women’s groups scaled up by the Indian public health system were highly cost-effective in improving neonatal survival and had a very favourable return on investment. The intervention can be scaled up in similar settings within India and other countries. Public Library of Science 2023-06-29 /pmc/articles/PMC10309599/ /pubmed/37384595 http://dx.doi.org/10.1371/journal.pgph.0001128 Text en © 2023 Haghparast-Bidgoli et al https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Research Article
Haghparast-Bidgoli, Hassan
Ojha, Amit
Gope, Rajkumar
Rath, Shibanand
Pradhan, Hemanta
Rath, Suchitra
Kumar, Amit
Nath, Vikash
Basu, Parabita
Copas, Andrew
Houweling, Tanja A. J.
Minz, Akay
Baskey, Pradeep
Ahmed, Manir
Chakravarthy, Vasudha
Mahanta, Riza
Palmer, Tom
Skordis, Jolene
Nair, Nirmala
Tripathy, Prasanta
Prost, Audrey
Economic evaluation of participatory women’s groups scaled up by the public health system to improve birth outcomes in Jharkhand, eastern India
title Economic evaluation of participatory women’s groups scaled up by the public health system to improve birth outcomes in Jharkhand, eastern India
title_full Economic evaluation of participatory women’s groups scaled up by the public health system to improve birth outcomes in Jharkhand, eastern India
title_fullStr Economic evaluation of participatory women’s groups scaled up by the public health system to improve birth outcomes in Jharkhand, eastern India
title_full_unstemmed Economic evaluation of participatory women’s groups scaled up by the public health system to improve birth outcomes in Jharkhand, eastern India
title_short Economic evaluation of participatory women’s groups scaled up by the public health system to improve birth outcomes in Jharkhand, eastern India
title_sort economic evaluation of participatory women’s groups scaled up by the public health system to improve birth outcomes in jharkhand, eastern india
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10309599/
https://www.ncbi.nlm.nih.gov/pubmed/37384595
http://dx.doi.org/10.1371/journal.pgph.0001128
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