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Table 3 A summary of the results of the economic evaluations from the studies included in the review (n = 4)

From: Cost-effectiveness evidence for strategies to promote or support breastfeeding: a systematic search and narrative literature review

First author (year of publication) Interventions Net benefit Net costa ICER, key conclusions, and uncertainty
Desmond (2008) [27] Group education plus breastfeeding counsellor (full, simple, and basic iterations of intervention) versus no support Incremental increase in months of exclusive breastfeeding:
Basic versus no support = 22,306
Simple versus basic = 204,644
Full versus simple = 54,997
Full: £11,513,022
Basicb: £5,660,543
Simplec: £1,646,915
£19–£107/additional month of exclusive breastfeeding.
Each of the derivatives of the intervention could be cost-effective under differing sets of circumstances.
Rice (2010) [28] Enhanced staff contact in neonatal unit versus usual contact QALYs by birth weight subgroup:
500-999 g = 0.251
1000-1749 g = 0.056
1750-2500 g = 0.009
500-999 g: -£1030
1000-1749 g: -£515
1750-2500 g: -£116
Intervention was dominant in all weight sub-groups. The intervention would no longer be cost-effective if donor milk were allocated exclusively as a supplement to mothers’ milk.
Likely to be cost-effective.
Rubio-Rodríguez (2012) [29] Enhanced staff contact in neonatal unit versus usual contact QALYs by birth weight subgroup:
500-999 g = 1.75
1000-1749 g = 0.333
1750-2500 g = 0.156
500-999 g: -£23,859
1000-1749 g: -£6282
1750-2500 g: -£3203
Intervention was dominant in all weight sub-groups. The cost of current breastfeeding promotion (usual care) was not included in the model so costs are conservative.
Likely to be cost-effective.
Chola (2015) [30] Peer support plus clinic-based breastfeeding promotion versus breastfeeding promotion only 2 months of exclusive breastfeeding; 0.01 DALYs averted £116 £58/month of exclusive breastfeeding; £9617/DALY.
Not likely to be cost-effective.
  1. ICER Incremental cost-effectiveness ratio, QALY Quality adjusted life year, DALY Disability adjusted life year
  2. aCosts have been inflated to 2017/18 and currencies converted to British £; bBasic implementation: This scenario is entirely clinic-based
  3. cSimplified implementation: Less frequent pre-and post-natal visits, and more clinic based as opposed to home-based visits