From: Economic evaluation of emergency obstetric care training: a systematic review
Author(s) | Economic evaluation type | Perspective | Effectiveness metric utilised | Effectiveness | Cost-effectiveness reported | Value for money statement | Sensitivity analysis |
---|---|---|---|---|---|---|---|
Walker et al., 2002 | Cost-Effectiveness Analysis | Healthcare provider | Change in scores for skills Cost per additional skilled midwife | All programmes resulted in statistically significant improvements (P = 0.03) in the skills of healthcare providers. | Advanced LSS: US$49.7 per 1% increase in mean skill scores and US$3210.9 per % point increase in the number of competent facility midwives.Basic LSS: US$60.7 per % point increase in mean skill scores and US$5651.5 per % point increase in the numbers of competent village midwives.Village midwives internship: US$154.0 per % point increase in mean skill scores and US$4060.8 per % point increase in the number of competent village midwives. | Not clear whether the training programmes were more or less cost-effective than other safe motherhood interventions because the nature of the outcome measures hindered comparison. | Done |
Osei et al., 2005 | Cost-Effectiveness Analysis | Not defined | Knowledge change of provider on how to conduct labour and delivery,Performance with regard to managing obstetric and other complications | Knowledge changeSelf-paced Learning (SPL): 17% change from baseline to endlineResidential (R): −5%Performance changeSPL: 6% performance change from baseline to endlineR: 4% performance change from baseline to endline | Knowledge changeSPL: US$69 per provider per % point change R: Not calculated due to the negative change in the indicator from baseline to endline.Performance changeSPL: US$101 per provider per % point changeR: US$138 per provider per % point change | Not reported | Not done |
Boulenger & Dmytraczenko, 2007 | Cost-Effectiveness Analysis | Government | Cost of skilled care per delivery | – | The average annual cost of the skilled care per delivery with a skilled birth attendant was US$15.0 for Tanzania, and US$10.6 for Kenya. The cost per capita was US$1.7 for Tanzania, and US$0.6 for Kenya. | Not possible to compare to similar interventions. | Not done |
Kruk et al., 2007 | Cost-Effectiveness Analysis | Modified societal perspective | Cost of surgeries conducted | – | The resulting cost per surgery for surgical technicians is US$38.87 versus US$144.1 for physicians. | Surgical technicians retained a substantial cost advantage in all the scenarios. | Done |
Manasyan et al., 2011 | Cost-Effectiveness Analysis, Cost-Utility Analysis | Not defined | Number of lives saved | 97 lives saved. All-cause 7-day neonatal mortality decreased from 11.5 per 1000 to 6.8 per 1000 after training (relative risk: 0.59 (0.48–0.77); P < .001) and was associated with a decrease in deaths caused by birth asphyxia (3.4–1.9 per 1000; P = .02) and infection (2.1–1.0 per 1000; P = .02) | The intervention costs were US$208 per life saved and US$5.24 per disability-adjusted life-year averted. | Considered value for money as Gross Domestic Product (GDP) per person in Zambia was about $1500. | Not done |