Cost Effectiveness of Interventions to Reduce Maternal Mortality in Mexico
2007
This article, published in PloS One, uses maternal mortality data from Mexico to examine trends in the provision of maternal health services and the trajectory towards reaching the Millennium Development Goal 5 (MDG 5). The authors developed a model of the natural history of pregnancy and pregnancy related complications and simulated a cohort of 15-year-old women over their lifetime based on national data. The model produced clinical outcomes, costs, and cost-effectiveness of the current standard of maternal care as well as potential avenues for improvement.
Results showed that a dual approach—increasing family planning coverage by 15% and ensuring access to safe abortion—could reduce maternal mortality by 43% and be cost-saving compared to current practices. An even more effective strategy adds comprehensive emergency obstetric care for at least 90% of women requiring referral; this three-pronged approach could reduce mortality by 75% at a national level and be more cost-effective than current practice, with an incremental cost-effectiveness ratio of $300 per disability-adjusted life year (DALY).
Cost Effectiveness of Interventions to Reduce Maternal Mortality in Mexico
Source:
Hu D, Bertozzi SM, Gakidou E, Sweet S, Goldie SJ. The Costs, Benefits, and Cost-Effectiveness of Interventions to Reduce Maternal Morbidity and Mortality in Mexico. PLOS One 2007; 2 (8): e750. https://doi.org/10.1371/journal.pone.0000750