Safe Motherhood Cost-Effectivenss Study protocol

837 views

Published on

This was presented to lecturers and students of Public Health Evaluation at Sweden. It proposes how to mix Health Economics and Epidemiology in Evaluation

0 Comments
1 Like
Statistics
Notes
  • Be the first to comment

No Downloads
Views
Total views
837
On SlideShare
0
From Embeds
0
Number of Embeds
17
Actions
Shares
0
Downloads
0
Comments
0
Likes
1
Embeds 0
No embeds

No notes for slide
  • 09/04/09
  • 09/04/09
  • 09/04/09
  • 09/04/09
  • 09/04/09
  • 09/04/09
  • 09/04/09
  • 09/04/09
  • 09/04/09
  • Safe Motherhood Cost-Effectivenss Study protocol

    1. 1. <ul><li>Health Economics and Epidemiology navigating to the best alternative of safe motherhood for Ethiopian mothers </li></ul>Kassa Mohammed Umea, Sweden ,May 2007
    2. 2. 1. Background <ul><li>MMR range from 630-1200 maternal deaths per 100,000 live births </li></ul><ul><li>Major underlying causes </li></ul><ul><li>Delay in identification of the problem </li></ul><ul><li>delay in referral </li></ul><ul><li>delay in getting proper care </li></ul>
    3. 3. Problem Statement <ul><li>preexisting programs of safe mother hood and now new pilot programs of at a pilot level in certain areas </li></ul><ul><li>Limited budget </li></ul><ul><li>Which one to chose from societal view </li></ul>
    4. 4. 2.Objectives <ul><li>produce info to maximize the safety of mothers </li></ul><ul><li>Specific objectives </li></ul><ul><li>To determine the cost and incremental costs of the programs </li></ul><ul><li>To determine the effect of both programs with its positive externals </li></ul><ul><li>To find the incremental cost effectiveness of promoting rural COEC </li></ul>
    5. 5. Options <ul><li>Traditional Referral and standard CEOC: This is the already existing system </li></ul><ul><li>Rural Comprehensive Emergency Obstetric care: empowering middle level health workers and capacitating health centers, to CEOC </li></ul>
    6. 6. 3. Methods, study Design <ul><li>The study design </li></ul><ul><li>comparative experimentalist </li></ul><ul><li>Costs identification </li></ul><ul><li>Health sector : capital and recurrent </li></ul><ul><li>Community: payments </li></ul><ul><li>Loss of productivity </li></ul>
    7. 7. 4 Measuring and valuation cost <ul><li>Annuitize capital costs initial investment </li></ul><ul><li>Present Value of costs </li></ul><ul><li>Valuing productivity time </li></ul><ul><li>Real price of donated supply </li></ul><ul><li>Sharing overhead cost </li></ul>
    8. 8. 5.Effect and uncertainty <ul><li>maternal death per person time </li></ul><ul><li>verbal autopsy cause of death </li></ul><ul><li>medical records </li></ul><ul><li>Uncertainty </li></ul><ul><li>costing : range of discount rates and effect variation sensitivity analysis of scenario type, </li></ul>
    9. 9. THANK YOU <ul><li>Addis Ababa ,Ethiopia </li></ul>

    ×