A scoping review of cost benefit analysis in reproductive, maternal, newborn and child health: What we know and what are the gaps?

Abstract:

:Growing evidence suggests that early life investments in health are associated with improved human capital and economic outcomes. Various recent global studies have simulated the expected economic returns from alternative packages of interventions in reproductive, maternal, newborn and child health (RMNCH). However, very little is known about the comparability of estimates of the economic returns of RMNCH interventions across studies in low and middle income countries. Our study aims to fill this gap. We performed a comprehensive scoping review of the recent literature (2000-2013) on the economic returns (i.e. benefit-cost ratios) of RMNCH-related interventions, conducted in low and middle income countries. A total of 36 studies were identified. They were read in full and information was abstracted on both the estimates of benefit-cost ratios, the methodological approach and assumptions used. The estimated economic returns fluctuated considerably across settings as the associated costs of disease patterns, social behaviours and health systems varied. Yet, greater sources of variation stemmed from differences in methodology. The observed methodological inconsistencies limit the accuracy and comparability of the estimated returns across various contexts. The reviewed studies suggest that the benefit-cost ratios are favourable in the majority of cases, providing further support to a growing body of economic literature that suggests investments early in life, such as those interventions related to RMNCH, are good investments. Beyond advocacy purposes, for the reviewed literature to be used by policymakers to inform their decisions on investments, a consistent methodological approach should be adopted.

journal_name

Health Policy Plan

authors

Maitra C,Hodge A,Jimenez Soto E

doi

10.1093/heapol/czw078

subject

Has Abstract

pub_date

2016-12-01 00:00:00

pages

1530-1547

issue

10

eissn

0268-1080

issn

1460-2237

pii

czw078

journal_volume

31

pub_type

杂志文章,评审
  • Health care utilization and health outcomes: a population study of Taiwan.

    abstract::Facing escalating health care expenditures, the governments of countries with national health insurance programs are trying to control or even to reduce health care utilization. Little research has examined the effects of decreased health care utilization on health outcomes. Applying a natural experiment design to the...

    journal_title:Health policy and planning

    pub_type: 杂志文章

    doi:10.1093/heapol/czr080

    authors: Wang SY,Chen LK,Hsu SH,Wang SC

    更新日期:2012-10-01 00:00:00

  • Private payers of health care in Brazil: characteristics, costs and coverage.

    abstract::The private sector is the predominant provider of health care in Brazil, particularly for inpatient services, and financing is a mix of public (through a prospective reimbursement system) and private. Roughly a quarter of the population has private insurance coverage, reflecting rapid growth in the past decade fuelled...

    journal_title:Health policy and planning

    pub_type: 杂志文章

    doi:10.1093/heapol/10.4.362

    authors: Lewis MA,Medici AC

    更新日期:1995-12-01 00:00:00

  • Increasing contraceptive use in rural Pakistan: an evaluation of the Lady Health Worker Programme.

    abstract::Past efforts to promote family planning in Pakistan have been disappointing, but between 1990-91 and 2000-01 contraceptive use has more than doubled. This rise has coincided with a concerted effort on the part of the Pakistani government to increase access to contraceptive services, particularly in rural areas. The La...

    journal_title:Health policy and planning

    pub_type: 杂志文章

    doi:10.1093/heapol/czi014

    authors: Douthwaite M,Ward P

    更新日期:2005-03-01 00:00:00

  • The patient costs of care for those with TB and HIV: a cross-sectional study from South Africa.

    abstract:Background:This study describes the post-diagnosis care-seeking costs incurred by people living with TB and/or HIV and their households, in order to identify the potential benefits of integrated care. Methods:We conducted a cross-sectional study with 454 participants with TB or HIV or both in public primary health car...

    journal_title:Health policy and planning

    pub_type: 杂志文章

    doi:10.1093/heapol/czw183

    authors: Mudzengi D,Sweeney S,Hippner P,Kufa T,Fielding K,Grant AD,Churchyard G,Vassall A

    更新日期:2017-11-01 00:00:00

  • Risk factors for neonatal mortality in rural areas of Bangladesh served by a large NGO programme.

    abstract::Neonatal deaths account for about half of all deaths among children under 5 years of age in Bangladesh, making prevention a major priority. This paper reports on a study of neonatal deaths in 12 areas of Bangladesh served by a large NGO programme, which had high coverage of reproductive health outreach services and re...

    journal_title:Health policy and planning

    pub_type: 杂志文章

    doi:10.1093/heapol/czl024

    authors: Mercer A,Haseen F,Huq NL,Uddin N,Hossain Khan M,Larson CP

    更新日期:2006-11-01 00:00:00

  • Providing information on pregnancy complications during antenatal visits: unmet educational needs in sub-Saharan Africa.

    abstract:INTRODUCTION:Lack of information on the warning signs of complications during pregnancy, parturition and postpartum hampers women's ability to partake fully in safe motherhood initiatives. We assessed the extent to which women in 19 countries of sub-Saharan Africa recall receiving information about pregnancy complicati...

    journal_title:Health policy and planning

    pub_type: 杂志文章

    doi:10.1093/heapol/czp017

    authors: Nikiéma B,Beninguisse G,Haggerty JL

    更新日期:2009-09-01 00:00:00

  • Review of quality assessment tools for family planning programmes in low- and middle-income countries.

    abstract::Measuring and tracking the quality of healthcare is a critical part of improving service delivery, clinic efficiency and health outcomes. However, no standardized or widely accepted tool exists to assess the quality of clinic-based family planning services in low- and middle-income countries. The objective of this lit...

    journal_title:Health policy and planning

    pub_type: 杂志文章,评审

    doi:10.1093/heapol/czw123

    authors: Sprockett A

    更新日期:2017-03-01 00:00:00

  • Viewpoint: public versus private health care delivery: beyond the slogans.

    abstract::In most settings, a 'public' health service refers to a service which belongs to the state. The term 'private' is used when health care is delivered by individuals and/or institutions not administered by the state. In this paper it is argued that such a distinction, which is based on the institutional or administrativ...

    journal_title:Health policy and planning

    pub_type: 杂志文章

    doi:10.1093/heapol/12.3.193

    authors: Giusti D,Criel B,De Béthune X

    更新日期:1997-09-01 00:00:00

  • The complex association of health insurance and maternal health services in the context of a premium exemption for pregnant women: a case study in Northern Ghana.

    abstract:BACKGROUND:Health insurance premium exemptions for pregnant women are a strategy to increase coverage of maternal health services in sub-Saharan countries. We examine health insurance registration among pregnant women before or after the introduction of a premium exemption, and test whether registration increases utili...

    journal_title:Health policy and planning

    pub_type: 杂志文章

    doi:10.1093/heapol/czt086

    authors: Frimpong JA,Helleringer S,Awoonor-Williams JK,Aguilar T,Phillips JF,Yeji F

    更新日期:2014-12-01 00:00:00

  • From the field side of the binoculars: a different view on global public health surveillance.

    abstract::It is generally assumed by the donor community that the targeted funding of global, regional or cross-border surveillance programmes is an efficient way to support resource-poor countries in developing their own national public health surveillance infrastructure, to encourage national authorities to share outbreak int...

    journal_title:Health policy and planning

    pub_type: 杂志文章

    doi:10.1093/heapol/czl035

    authors: Calain P

    更新日期:2007-01-01 00:00:00

  • Whose policy is it anyway? International and national influences on health policy development in Uganda.

    abstract::As national resources for health decline, so dependence on international resources to finance the capital and recurrent costs is increasing. This dependence, combined with an increasing emphasis on policy-based, as opposed to project-based, lending and grant-making has been accompanied by greater involvement of intern...

    journal_title:Health policy and planning

    pub_type: 杂志文章

    doi:10.1093/heapol/10.2.122

    authors: Okuonzi SA,Macrae J

    更新日期:1995-06-01 00:00:00

  • User fees and drug pricing policies: a study at Harare Central Hospital, Zimbabwe.

    abstract::In 1991, Zimbabwe introduced cost recovery measures as part of its programme of economic reforms, following a course taken by many developing countries. The system of user fees in public health care, aimed to 'protect and support the vulnerable groups' by exemption or incremental fees based on 4 income brackets. Drugs...

    journal_title:Health policy and planning

    pub_type: 杂志文章

    doi:10.1093/heapol/10.3.319

    authors: Chisadza E,Maponga CC,Nazerali H

    更新日期:1995-09-01 00:00:00

  • Infant-feeding practices of mothers of known HIV status in Lusaka, Zambia.

    abstract:BACKGROUND:Between 25 and 44% of mother-to-child transmission (MTCT) of the human immunodeficiency virus (HIV) occurs through breastfeeding. As a result, feeding guidelines for infants of HIV-infected mothers are being formulated in many resource-poor countries. The impact of introducing these guidelines on mothers' ac...

    journal_title:Health policy and planning

    pub_type: 杂志文章

    doi:10.1093/heapol/czg020

    authors: Omari AA,Luo C,Kankasa C,Bhat GJ,Bunn J

    更新日期:2003-06-01 00:00:00

  • Intergovernmental health policy decisions in Brazil: cooperation strategies for political mediation.

    abstract::The advantages of established intergovernmental decision-making arenas for the implementation of health policies in decentralized settings are not well known. This paper presents the case of the joint health management committee, known as the Tripartite Committee, created to formalize intergovernmental decisions about...

    journal_title:Health policy and planning

    pub_type: 杂志文章

    doi:10.1093/heapol/czm004

    authors: Miranda AS

    更新日期:2007-05-01 00:00:00

  • The influence of gender and household headship on voluntary health insurance: the case of North-West Cameroon.

    abstract::Within the existing health financing literature, males are typically categorized as the household's decision-makers. While this view accurately reflects many local sociocultural realities, approximately a quarter of sub-Saharan African households are now headed by females. In light of various efforts to expand health ...

    journal_title:Health policy and planning

    pub_type: 杂志文章

    doi:10.1093/heapol/czx152

    authors: Oraro T,Ngube N,Atohmbom GY,Srivastava S,Wyss K

    更新日期:2018-03-01 00:00:00

  • The effect of Integrated Management of Childhood Illness on observed quality of care of under-fives in rural Tanzania.

    abstract::Integrated Management of Childhood Illness (IMCI) has been adopted by over 80 countries as a strategy for reducing child mortality and improving child health and development. It includes complementary interventions designed to address the major causes of child mortality at community, health facility, and health system...

    journal_title:Health policy and planning

    pub_type: 杂志文章

    doi:10.1093/heapol/czh001

    authors: Armstrong Schellenberg J,Bryce J,de Savigny D,Lambrechts T,Mbuya C,Mgalula L,Wilczynska K,Tanzania IMCI Multi-Country Evaluation Health Facility Survey Study Group.

    更新日期:2004-01-01 00:00:00

  • Provider payment in community-based health insurance schemes in developing countries: a systematic review.

    abstract:OBJECTIVES:Community-based health insurance (CBI) is a common mechanism to generate financial resources for health care in developing countries. We review for the first time provider payment methods used in CBI in developing countries and their impact on CBI performance. METHODS:We conducted a systematic review of the...

    journal_title:Health policy and planning

    pub_type: 杂志文章,评审

    doi:10.1093/heapol/czs034

    authors: Robyn PJ,Sauerborn R,Bärnighausen T

    更新日期:2013-03-01 00:00:00

  • Barriers to accessing benefits in a community-based insurance scheme: lessons learnt from SEWA Insurance, Gujarat.

    abstract::This paper seeks to examine barriers faced by members of a community-based insurance (CBI) scheme, which is targeted at poor women and their families, in accessing scheme benefits. CBI schemes have been developed and promoted as mechanisms to offer protection to poor families from the risks of ill-health, death and lo...

    journal_title:Health policy and planning

    pub_type: 杂志文章

    doi:10.1093/heapol/czj010

    authors: Sinha T,Ranson MK,Chatterjee M,Acharya A,Mills AJ

    更新日期:2006-03-01 00:00:00

  • Factors influencing the burden of health care financing and the distribution of health care benefits in Ghana, Tanzania and South Africa.

    abstract::In Ghana, Tanzania and South Africa, health care financing is progressive overall. However, out-of-pocket payments and health insurance for the informal sector are regressive. The distribution of health care benefits is generally pro-rich. This paper explores the factors influencing these distributions in the three co...

    journal_title:Health policy and planning

    pub_type: 杂志文章

    doi:10.1093/heapol/czs024

    authors: Macha J,Harris B,Garshong B,Ataguba JE,Akazili J,Kuwawenaruwa A,Borghi J

    更新日期:2012-03-01 00:00:00

  • Review of corruption in the health sector: theory, methods and interventions.

    abstract::There is increasing interest among health policymakers, planners and donors in how corruption affects health care access and outcomes, and what can be done to combat corruption in the health sector. Efforts to explain the risk of abuse of entrusted power for private gain have examined the links between corruption and ...

    journal_title:Health policy and planning

    pub_type: 杂志文章,评审

    doi:10.1093/heapol/czm048

    authors: Vian T

    更新日期:2008-03-01 00:00:00

  • Sub-national health care financing reforms in Indonesia.

    abstract::Indonesia has seen an emergence of local health care financing schemes over the last decade, implemented and operated by district governments. Often motivated by the local political context and characterized by a large degree of heterogeneity in scope and design, the common objective of the district schemes is to addr...

    journal_title:Health policy and planning

    pub_type: 杂志文章

    doi:10.1093/heapol/czw101

    authors: Sparrow R,Budiyati S,Yumna A,Warda N,Suryahadi A,Bedi AS

    更新日期:2017-02-01 00:00:00

  • Demand for private healthcare in a universal public healthcare system: empirical evidence from Sri Lanka.

    abstract::This paper examines healthcare utilization behaviour in Sri Lanka with special emphasis on the choice between costly private and free public healthcare services. We use a data set that combines nationwide household survey data and district level healthcare supply data. Our findings suggest that even with universal pub...

    journal_title:Health policy and planning

    pub_type: 杂志文章

    doi:10.1093/heapol/czx085

    authors: Pallegedara A,Grimm M

    更新日期:2017-11-01 00:00:00

  • A total market approach for condoms in Myanmar: the need for the private, public and socially marketed sectors to work together for a sustainable condom market for HIV prevention.

    abstract:BACKGROUND:Concerns about appropriate pricing strategies and the high market share of subsidized condoms prompted Population Services International (PSI)/Myanmar to adopt a total market approach (TMA). This article presents data on the size and composition of the Myanmar condom market, identifies inefficiencies and rec...

    journal_title:Health policy and planning

    pub_type: 杂志文章

    doi:10.1093/heapol/czu056

    authors: Htat HW,Longfield K,Mundy G,Win Z,Montagu D

    更新日期:2015-03-01 00:00:00

  • Is equity being sacrificed? Willingness and ability to pay for schistosomiasis control in China.

    abstract::Decentralization of the health care system in China has led to an increasing need for income generation at all operational levels, both for curative services and for public health programmes. In general, people have accepted the costs of curative services, although the impact of charges on health-seeking behaviour has...

    journal_title:Health policy and planning

    pub_type: 杂志文章

    doi:10.1093/heapol/16.3.292

    authors: Yu D,Manderson L,Yuan L,Wei W,He H,Chen Y

    更新日期:2001-09-01 00:00:00

  • The cost of safe sex: estimating the price premium for unprotected sex during the Avahan HIV prevention programme in India.

    abstract::There is some evidence that female sex workers (FSWs) receive greater earnings for providing unprotected sex. In 2003, the landscape of the fight against HIV/AIDS dramatically changed in India with the introduction of Avahan, the largest HIV prevention programme implemented globally. Using a unique, cross-sectional bi...

    journal_title:Health policy and planning

    pub_type: 杂志文章

    doi:10.1093/heapol/czz100

    authors: Quaife M,Lépine A,Deering K,Terris-Prestholt F,Beattie T,Isac S,Paranjape RS,Vickerman P

    更新日期:2019-12-01 00:00:00

  • Do national drug policies influence antiretroviral drug prices? Evidence from the Southern African Development community.

    abstract:Background:The efficacy of low- and middle-income countries’ (LMIC) national drug policies in managing antiretroviral (ARV) pharmaceutical prices is not well understood. Though ARV drug prices have been declining in LMIC over the past decade, little research has been done on the role of their national drug policies. Th...

    journal_title:Health policy and planning

    pub_type: 杂志文章

    doi:10.1093/heapol/czw107

    authors: Liu Y,Galárraga O

    更新日期:2017-03-01 00:00:00

  • Opening the 'black box' of performance-based financing in low- and lower middle-income countries: a review of the literature.

    abstract::Although performance-based financing (PBF) receives increasing attention in the literature, a lot remains unknown about the exact mechanisms triggered by PBF arrangements. This article aims to summarize current knowledge on how PBF works, set out what still needs to be investigated and formulate recommendations for re...

    journal_title:Health policy and planning

    pub_type: 杂志文章,评审

    doi:10.1093/heapol/czw045

    authors: Renmans D,Holvoet N,Orach CG,Criel B

    更新日期:2016-11-01 00:00:00

  • The financing gaps framework: using need, potential spending and expected spending to allocate development assistance for health.

    abstract::As growth in development assistance for health levels off, development assistance partners must make allocation decisions within tighter budget constraints. Furthermore, with the advent of comprehensive and comparable burden of disease and health financing estimates, empirical evidence can increasingly be used to dire...

    journal_title:Health policy and planning

    pub_type: 杂志文章

    doi:10.1093/heapol/czx165

    authors: Haakenstad A,Templin T,Lim S,Bump JB,Dieleman J

    更新日期:2018-02-01 00:00:00

  • Long-term care systems as social security: the case of Chile.

    abstract::Similar to many other countries, Chile is facing the challenges of rapid ageing and the increase in long-term care (LTC) needs for this population. Implementation of LTC systems has been the response to these challenges in other countries, however, Chile still lacks a strategy for addressing LTC needs. This article ad...

    journal_title:Health policy and planning

    pub_type: 杂志文章

    doi:10.1093/heapol/czy083

    authors: Villalobos Dintrans P

    更新日期:2018-11-01 00:00:00

  • Financial priorities under decentralization in Uganda.

    abstract::This paper explores changes to budget allocations for health during the decentralization process in UGANDA: When the districts were given the authority to allot their own budgets, allocations for health were reduced considerably. The rationale for this by district leaders is investigated and analyzed. Their criteria f...

    journal_title:Health policy and planning

    pub_type: 杂志文章

    doi:10.1093/heapol/16.2.187

    authors: Jeppsson A

    更新日期:2001-06-01 00:00:00