title: Economic assessment of a women's group intervention to improve birth outcomes in rural Nepal.
abstract: We did a cost-effectiveness analysis alongside a cluster-randomised controlled trial of a participatory intervention with women's groups to improve birth outcomes in rural Nepal. The average provider cost of the women's group intervention was US0.75 dollars per person per year (0.90 dollars with health-service strengthening) in a population of 86,704. The incremental cost per life-year saved (LYS) was 211 dollars (251 dollars), and expansion could rationalise on start-up costs and technical assistance, reducing the cost per LYS to 138 dollars (179 dollars). Sensitivity analysis showed a variation from 83 dollars to 263 dollars per LYS for most variables. This intervention could provide a cost-effective way of reducing neonatal deaths.
authors.affiliation: Infectious Disease and Epidemiology Unit, London School of Hygiene and Tropical Medicine, Keppel Street, London WC1E 7HT, UK. jo.borghi@lshtm.ac.uk
authors.forename: Josephine
authors.initials: J
authors.lastname: Borghi
authors.forename: Bidur
authors.initials: B
authors.lastname: Thapa
authors.forename: David
authors.initials: D
authors.lastname: Osrin
authors.forename: Stephen
authors.initials: S
authors.lastname: Jan
authors.forename: Joanna
authors.initials: J
authors.lastname: Morrison
authors.forename: Suresh
authors.initials: S
authors.lastname: Tamang
authors.forename: Bhim Prasad
authors.initials: BP
authors.lastname: Shrestha
authors.forename: Angie
authors.initials: A
authors.lastname: Wade
authors.forename: Dharma S
authors.initials: DS
authors.lastname: Manandhar
authors.forename: Anthony M de L
authors.initials: AM
authors.lastname: Costello
mesh_terms: D000328:Adult; D003365:Costs and Cost Analysis; D005260:Female; D006801:Humans; D007226:Infant Mortality; D007231:Infant, Newborn; D008428:Maternal Mortality; D008430:Maternal-Child Health Centers / Q000191:economics* / Q000458:organization & administration; D009390:Nepal; D011247:Pregnancy; D012423:Rural Health; D014932:Women's Health Services / Q000191:economics* / Q000458:organization & administration*