马达加斯加农村紧急产科和新生儿护理的设施间转移:成本效益分析
Mara Anna Franke1,2, Kim Nordmann3, Anna Frühauf1
1Charité Center for Global Health, Charité - Universitätsmedizin Berlin, Berlin, Germany.
BMJ open
|April 3, 2024
概括
在马达加斯加农村地区实施紧急产科和新生儿护理的设施间转诊系统被证明是非常具有成本效益的. 该系统在资源有限的环境中显著减少了可预防的孕产妇和新生儿死亡.
科学领域:
- 公共卫生 公共卫生
- 卫生经济学 卫生经济学
- 孕产妇和儿童的健康
背景情况:
- 撒哈拉以南非洲面临着紧急产科和新生儿护理设施间转诊系统的严重短缺.
- 关于这些系统在减少可预防的孕产妇和新生儿死亡方面的成本效益的数据很少.
研究的目的:
- 确定一个由非政府组织 (NGO) 经营的紧急产科和新生儿护理设施间转诊系统在马达加斯加南部农村的成本效益.
- 分析提交案件的特点和相关成本.
主要方法:
- 利用来自非政府组织监测和财务管理数据库的二次数据.
- 进行描述性和成本效益分析,包括敏感性分析.
主要成果:
- 在4年的时间里,有1172例病例被转诊,其中阻碍分娩,无效分娩和阴是常见的原因.
- 每次推的估计成本为336美元,增量成本效益比 (ICER) 为每额外的生命年节省70美元.
- 在所有敏感性分析场景中,干预仍然具有成本效益,ICERs从99美元到205美元不等.
结论:
- 在这种资源有限的环境中,设施间推系统表现出高的成本效益.
- 调查结果可以为全球类似推系统的政策,决策和实施策略提供信息.
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