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Cost Effectiveness of Mobile Health for Antenatal Care and Facility Births in Nigeria
BACKGROUND: The use of mobile technology in the health sector, often referred to as mHealth, is an innovation that is being used in countries to improve health outcomes and increase and improve both the demand and supply of health care services. This study assesses the actual cost-effectiveness of i...
Autores principales: | , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Levy Library Press
2018
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6748180/ https://www.ncbi.nlm.nih.gov/pubmed/30779506 http://dx.doi.org/10.29024/aogh.2364 |
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author | Bowser, Diana M. Shepard, Donald S. Nandakumar, Allyala Okunogbe, Adeyemi Morrill, Tyler Halasa-Rappel, Yara Jordan, Monica Mushi, Farida Boyce, Carolyn Oluwayemisi, Erhunmwunse |
author_facet | Bowser, Diana M. Shepard, Donald S. Nandakumar, Allyala Okunogbe, Adeyemi Morrill, Tyler Halasa-Rappel, Yara Jordan, Monica Mushi, Farida Boyce, Carolyn Oluwayemisi, Erhunmwunse |
author_sort | Bowser, Diana M. |
collection | PubMed |
description | BACKGROUND: The use of mobile technology in the health sector, often referred to as mHealth, is an innovation that is being used in countries to improve health outcomes and increase and improve both the demand and supply of health care services. This study assesses the actual cost-effectiveness of initiating and implementing the use of the mHealth as a supply side job aid for antenatal care. The study also estimates the cost-effectiveness ratio if mHealth was also used to encourage and track women through facility delivery. METHODS: The methodology utilized a retrospective, micro-costing technique to extract costing data from health facilities and administrative offices to estimate the costs of implementing the mHealth antenatal care program and estimate the cost of facility delivery for those that used the antenatal care services in the year 2014. Five different costing tools were developed to assist in the costing analysis. FINDINGS: The results show that the provision of tetanus toxoid vaccination and malaria prophylaxis during pregnancy and improved labor and delivery during facility delivery contributed the most to mortality reductions for women, neonates and stillbirths in mHealth facilities versus non-mHealth facilities. The cost-effectiveness ratio of this program for antenatal care and no demand-side generation for facility delivery is US$13,739 per life saved. The cost-effectiveness ratio adding in an additional demand-side generation for facility births reduces to US$9,806 per life saved. CONCLUSION: These results show that mHealth programs are inexpensive and save a number of lives for the dollar investment and could save additional lives and funds if women were also encouraged to seek facility delivery. |
format | Online Article Text |
id | pubmed-6748180 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | Levy Library Press |
record_format | MEDLINE/PubMed |
spelling | pubmed-67481802019-09-17 Cost Effectiveness of Mobile Health for Antenatal Care and Facility Births in Nigeria Bowser, Diana M. Shepard, Donald S. Nandakumar, Allyala Okunogbe, Adeyemi Morrill, Tyler Halasa-Rappel, Yara Jordan, Monica Mushi, Farida Boyce, Carolyn Oluwayemisi, Erhunmwunse Ann Glob Health Original Research BACKGROUND: The use of mobile technology in the health sector, often referred to as mHealth, is an innovation that is being used in countries to improve health outcomes and increase and improve both the demand and supply of health care services. This study assesses the actual cost-effectiveness of initiating and implementing the use of the mHealth as a supply side job aid for antenatal care. The study also estimates the cost-effectiveness ratio if mHealth was also used to encourage and track women through facility delivery. METHODS: The methodology utilized a retrospective, micro-costing technique to extract costing data from health facilities and administrative offices to estimate the costs of implementing the mHealth antenatal care program and estimate the cost of facility delivery for those that used the antenatal care services in the year 2014. Five different costing tools were developed to assist in the costing analysis. FINDINGS: The results show that the provision of tetanus toxoid vaccination and malaria prophylaxis during pregnancy and improved labor and delivery during facility delivery contributed the most to mortality reductions for women, neonates and stillbirths in mHealth facilities versus non-mHealth facilities. The cost-effectiveness ratio of this program for antenatal care and no demand-side generation for facility delivery is US$13,739 per life saved. The cost-effectiveness ratio adding in an additional demand-side generation for facility births reduces to US$9,806 per life saved. CONCLUSION: These results show that mHealth programs are inexpensive and save a number of lives for the dollar investment and could save additional lives and funds if women were also encouraged to seek facility delivery. Levy Library Press 2018-11-05 /pmc/articles/PMC6748180/ /pubmed/30779506 http://dx.doi.org/10.29024/aogh.2364 Text en Copyright: © 2018 The Author(s) http://creativecommons.org/licenses/by/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution 4.0 International License (CC-BY 4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. See http://creativecommons.org/licenses/by/4.0/. |
spellingShingle | Original Research Bowser, Diana M. Shepard, Donald S. Nandakumar, Allyala Okunogbe, Adeyemi Morrill, Tyler Halasa-Rappel, Yara Jordan, Monica Mushi, Farida Boyce, Carolyn Oluwayemisi, Erhunmwunse Cost Effectiveness of Mobile Health for Antenatal Care and Facility Births in Nigeria |
title | Cost Effectiveness of Mobile Health for Antenatal Care and Facility Births in Nigeria |
title_full | Cost Effectiveness of Mobile Health for Antenatal Care and Facility Births in Nigeria |
title_fullStr | Cost Effectiveness of Mobile Health for Antenatal Care and Facility Births in Nigeria |
title_full_unstemmed | Cost Effectiveness of Mobile Health for Antenatal Care and Facility Births in Nigeria |
title_short | Cost Effectiveness of Mobile Health for Antenatal Care and Facility Births in Nigeria |
title_sort | cost effectiveness of mobile health for antenatal care and facility births in nigeria |
topic | Original Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6748180/ https://www.ncbi.nlm.nih.gov/pubmed/30779506 http://dx.doi.org/10.29024/aogh.2364 |
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