预防童婚作为预孕健康策略:塞内加尔的基于建模的成本效益分析
Sébastien Poix1, Patrick O'Donnell2, Dervla Kelly2
1Faculty of Education & Health Sciences, School of Medicine, University of Limerick, Limerick, Ireland.
Public health
|October 4, 2025
概括
在塞内加尔,通过社区宣传防止童婚,为经济和健康带来了显著的好处. 这种干预预计可以通过预防新生儿死亡和死产来挽救生命,显示出投资的强回报.
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:
- 童婚是一个重大的公共卫生问题,对母亲和儿童的健康造成严重影响.
- 对防止童婚干预措施的经济评估往往忽视了更广泛的健康影响,如新生儿死亡率和死胎.
- 社区宣传是解决童婚上游决定因素的一个关键策略.
研究的目的:
- 评估旨在防止塞内加尔童婚的社区宣传干预措施的成本和收益.
- 分析这些干预措施对预防新生儿死亡率和死胎的影响.
- 为预孕前健康策略的经济评估提供一个新的视角.
主要方法:
- 开发了一个确定性,基于队列的模拟模型来评估经济和社会影响.
- 该模型比较了现状状况的情景和一个干预情景,为一群青少年女孩提供了三年的干预情景.
- 干预成本,影响规模和流行病学/人口学参数的数据来源于二次数据. 预防死亡的货币化使用了统计生活方法的价值.
主要成果:
- 据估计,这项干预措施将在三年内将童婚发生率降低3.4%.
- 据估计,预防了2579例青少年怀孕,86例新生儿死亡和46例死产.
- 计算了4.2:1的效益成本比,表明每投资1美元的净收益为3.2美元.
结论:
- 通过社区宣传,预防童婚带来了巨大的经济和健康效益,作为一种有效的孕前健康策略.
- 解决母婴健康的上游决定因素对于改善结果至关重要.
- 在低收入和中等收入国家进行预孕干预的进一步的成本效益分析是有必要的.
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