坦桑尼亚的小型和生病新生儿护理投资案例:系统分析
Rosemary Kamuyu1, Alice Tarus2, Felix Bundala3
1Maternal, Adolescent, Reproductive & Child Health (MARCH) Centre, London School of Hygiene & Tropical Medicine, London, UK. rose.kamuyu@lshtm.ac.uk.
BMC pediatrics
|December 15, 2023
概括
在坦桑尼亚投资于小型和生病的新生儿护理 (SSNC) 显著降低新生儿死亡率,挽救数千人的生命. 对SSNC的投资回报率很高,使其成为一个负担得起和有影响力的健康战略.
科学领域:
- 公共卫生 公共卫生
- 卫生经济学 卫生经济学
- 新生儿医学 新生儿医学
背景情况:
- 小型和生病新生儿护理 (SSNC) 对于实现国家和全球新生儿死亡率减少目标至关重要.
- 开发投资案例是计划和调动SSNC扩展资源的关键.
- 本研究重点关注坦桑尼亚将SSNC覆盖范围扩大到80%的地区的战略.
研究的目的:
- 开发一个投资案例,以扩大坦桑尼亚的小型和生病新生儿护理 (SSNC).
- 估计实现国家新生儿死亡率减少目标所需的额外资金.
- 为SSNC提供实施规划和资源调动的信息.
主要方法:
- 审查了SSNC的国家目标,政策和指导方针.
- 使用"拯救生命工具"建模健康益处,使用"新生儿设备规划和成本计算工具"估计成本.
- 计算了预算影响,投资回报率 (ROI) 和确定了融资机会.
主要成果:
- 预计新生儿死亡率将在SSNC扩大规模后从每1000个活产婴儿中从20个降至13个.
- 估计累计挽救的生命:到2025年为36,600人,到2030年为80,000人,覆盖率为85%.
- 估计的增量成本在9000万至1.66亿美元之间;ROI为每美元投资的8至12美元.
结论:
- 与其他健康干预措施相比,SSNC提供了较高的投资回报,节省了大量生命年.
- 所需的预算增加是负担得起的,相当于人均卫生支出增长2.3%.
- 五步投资案例方法可适应其他国家,旨在加速降低新生儿死亡率.
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