Alternative strategies to reduce maternal mortality in India: A cost-effectiveness analysis

PLoS Medicine

Volumn 7, Issue 4, 2010, Pages

  Goldie, Sue J ^a   Sweet, Steve ^a   Carvalho, Natalie ^a   Natchu, Uma Chandra Mouli ^a,b   Hu, Delphine ^a  

^a HARVARD SCHOOL OF PUBLIC HEALTH   (United States)

^b Translational Health Science and Technology Institute   (India)

Author keywords

[No Author keywords available]

Indexed keywords

ABORTION; ARTICLE; CHILDBIRTH; COMPUTER MODEL; CONTRACEPTION; CONTROLLED STUDY; COST CONTROL; COST EFFECTIVENESS ANALYSIS; FAMILY PLANNING; FATALITY; GYNECOLOGIC CARE; HEALTH CARE ACCESS; HEALTH CARE QUALITY; HUMAN; INDIA; INTRAPARTUM CARE; MATERNAL CARE; MATERNAL MORTALITY; PATIENT REFERRAL; PATIENT TRANSPORT; PREGNANCY; PREGNANCY COMPLICATION; PRIMARY PREVENTION; UNPLANNED PREGNANCY; COST BENEFIT ANALYSIS; FEMALE; HEALTH SERVICE; METHODOLOGY;

COST-BENEFIT ANALYSIS; FAMILY PLANNING SERVICES; FEMALE; HUMANS; INDIA; MATERNAL HEALTH SERVICES; MATERNAL MORTALITY; PREGNANCY;

EID: 77951747568     PISSN: 15491277     EISSN: 15491676     Source Type: Journal    
DOI: 10.1371/journal.pmed.1000264     Document Type: Article

References (106)

1. World Health Organization (WHO) (2007) Maternal mortality in 2005: estimates developed by WHO, UNICEF, UNFPA, and The World Bank. Available: http://www.who.int/whosis/mme_2005.pdf. Accessed 19 August 2009.
2. Hill K, Thomas K, AbouZahr C, Walker N, Say L, et al. (2007) Estimates of maternal mortality worldwide between 1990 and 2005: an assessment of available data. Lancet 370: 1311-1319.
3. United Nations (UN). Millennium Development Goals: Goal 5 (MDG 5). Improve maternal health. Available: http://www.un.org/millenniumgoals/maternal.shtml. Accessed 31 July 2009.
4. World Health Organization (WHO) (2005) Millennium Development Goals and Health-India. Chapter III: Goal 5: improve maternal health. Geneva: WHO. Available: http://www.whoindia.org/LinkFiles/MDG_Chapter-03. pdf. Accessed 31 July 2009.
5. Shiffman J, Ved R (2007) The state of political priority for safe motherhood in India. BJOG 114: 785-90.
6. Ronsmans C, Graham WJ, On behalf of The Lancet Maternal Survival Series steering group (2006) Maternal mortality: who, when, where and why. Lancet 368: 1189-1200.
7. Graham WJ, Cairns J, Bhattacharya S, Bullough CHW, Quayyum Z, et al. (2006) Chapter 26: Maternal and perinatal conditions. Jamison DT, Breman JG, Measham AR, Alleyne G, Claeson M, et al., eds. Disease control priorities in developing countries. 2nd edition. New York: Oxford University Press. pp 499-530. Available: http://www.dcp2.org/pubs/DCP/26/. Accessed 23 August 2009.
8. Campbell OM, Graham WJ, Lancet Maternal Survival Series steering group (2006) Strategies for reducing maternal mortality: getting on with what works. Lancet 368: 1284-99.
9. Rosenfield A, Maine D, Freedman L (2006) Meeting MDG-5: an impossible dream? Lancet 368: 1133-1135.
10. Government of India (2005) Reproductive and Child Health Programme Document (RCH II-Document 2): the principles and evidence base for State RCH II Programme Implementation Plans (PIPs). New Delhi, India: Government of India. Available: http://www.whoindia.org/LinkFiles/Child_Health_in_India_PIP_Doc_Chapter01.pdf. Accessed 21 August 2009.
11. Government of India, Ministry of Health and Family Welfare, Department of Family Welfare (2005) National rural healthcare mission. New Delhi, India: Government of India. Available: http://www.mohfw.nic.in/NRHM/Documents/NRHM%20Mission%20Document.pdf. Accessed 21 August 2009.
12. Shiffman J (2007) Generating political priority for maternal mortality reduction in 5 developing countries. Am J Public Health 97: 796-803.
13. Costello A, Azad K, Barnett S (2006) An alternative strategy to reduce maternal mortality. Lancet 368: 1477-1479.
14. Mills S, Bos E, Lule E, Ramana GNV, Bulatao R (2007) Obstetric care in poor settings in Ghana, India, and Kenya. Washington (D.C.): The World Bank. Available: http://www-wds.worldbank.org/servlet/main?menuPK=64187510&pagePK=64193027&piPK=64187937&theSitePK=523679&entityID=000310607_20080123112201. Accessed 27 July 2009.
15. Registrar General, India (2006) Maternal mortality in India: 1997-2003; trends, causes and risk factors. New Delhi, India. Available: http://www.mp.gov.in/health/Maternal_Mortality_in_India_1997-2003.pdf. Accessed 22 August 2009.
16. Goldie SJ, Goldhaber-Fiebert JD, Garnett GP (2006) Public health policy for cervical cancer prevention: role of decision science, economic evaluation, and mathematical modeling. Vaccine 24: S155-S163.
17. Adam T, Lim SS, Mehta S, Bhutta ZA, Fogstad H, et al. (2005) Cost effectiveness analysis of strategies for maternal and neonatal health in developing countries. BMJ 331: 1107.
18. Sutherland T, Bishai D (2009) Cost-effectiveness of misoprostol and prenatal iron supplementation as maternal mortality interventions in home births in rural India. Int J Gynaecol Obstet 104: 189-193.
19. Levine R, Langer A, Birdsall N, Matheny G, Wright M, et al. (2006) Contraception. Disease control priorities in developing countries. 2nd edition. New York: Oxford University Press, 1075-1090. Available at: http://www.dcp2.org/pubs/DCP.
20. Terris-Prestholt F, Watson-Jones D, Mugeye K, Kumaranayake L, Ndeki L, et al. (2003) Is antenatal syphilis screening still cost effective in sub-Saharan Africa. Sex Transm Infect 79: 375-381.
21. Nakhaee N, Mirahmadizadeh AR, Gorji HA, Mohammadi M (2002) Assessing the cost-effectiveness of contraceptive methods in Shiraz, Islamic Republic of Iran. East Mediterr Health J 8: 55-63.
22. Pagel C, Lewycka S, Colbourn T, Mwansambo C, Mequid T, et al. (2009) Estimation of potential effects of improved community-based drug provision, to augment health-facility strengthening, on maternal mortality due to post-partum haemorrhage and sepsis in sub-Saharan Africa: an equity-effectiveness model. Lancet 374: 1441-1448.
23. Hu D, Bertozzi SM, Gakidou E, Sweet S, Goldie SJ (2007) The costs, benefits, and cost-effectiveness of interventions to reduce maternal morbidity and mortality in Mexico. PLoS ONE 2: e750. doi:10.1371/journal.pone.0000750.
24. Prata N, Sreenivas A, Greig F, Walsh J, Potts M (2010) Setting priorities for safe motherhood interventions in resource-scarce settings. Health Policy 94: 1-13.
25. World Health Organization (WHO) CHOICE: choosing interventions that are cost-effective. Available: http://www.who.int/choice/en/. Accessed 12 July 2007.
26. International Institute for Population Sciences (IIPS) (2005) Reproductive and child health project. Facility survey. DLHS-2, 2003. Available: http://www.rchiips.org/pdf/rch2/National_Facility_Report_RCH-II.pdf. Accessed 1 September 2009.
27. Government of India (2008) Bulletin on rural health statistics in India. Rural health system in India. Available: http://www.mohfw.nic.in/Bulletin%20on%20RHS%20-%20March,%202008%20-%20PDF%20Version/Rural%20Health%20Care%20System%20in%20India.pdf. Accessed 1 September 2009.
28. International Institute for Population Sciences (IIPS) and ORC Macro (2007) National Family Health Survey (NFHS-3), 2005-06: India. Mumbai: IIPS. Available: http://www.nfhsindia.org/nfhs3_national_report.html. Accessed 23 August 2009.
29. Khan KS, Wojdyla D, Say L, Gulmezoglu AM, Van Look PF (2006) WHO analysis of causes of maternal death: a systematic review. Lancet 367: 1066-1074.
30. Johns B, Sigurbjornsdottir K, Fogstad H, Zupan J, et al. (2007) Estimated global resources needed to attain universal coverage of maternal and newborn health services. Bull World Health Organ 85: 256-263.
31. World Health Organization (WHO) (2002) Estimates of DALYs by sex, cause and WHO mortality sub-region, estimates for 2001. Geneva: WHO. Available: http://www.who.int/healthinfo/global_burden_disease/estimates_regional_2001/en/index.html. Accessed 23 August 2009.
32. World Health Organization (WHO) (2007) World Health Statistics. Available: http://www.who.int/healthinfo/statistics/gbdwhoregionincidence2002.xls. Accessed 7 May 2009.
33. UNICEF (2004) State of the world's children. Available: http://www.unicef.org/sowc/archive/ENGLISH/The%20State%20of%20the%20World%27s%20Children%202004.pdf. Accessed 7 May 2009.
34. Dolea C, AbouZahr C, Stein C, (2003) Global burden of maternal hemorrhage in the year 2000. Geneva, Switzerland: World Health Organization. Available: http://www.who.int/healthinfo/statistics/bod_maternalhaemorrhage.pdf. Accessed 23 August 2009.
35. Dolea C, AbouZahr C (2003) Global burden of obstructed labor in the year 2000. Geneva, Switzerland: World Health Organization. Available: http://www.who.int/healthinfo/statistics/bod_obstructedlabour.pdf. Accessed 23 August 2009.
36. Dolea C, AbouZahr C, (2003) Global burden of hypertensive disorders of pregnancy in the year 2000. Geneva, Switzerland: World Health Organization. Available: http://www.who.int/healthinfo/statistics/bod_hypertensivedisordersofpregnancy.pdf. Accessed 23 August 2009.
37. Dolea C, Stein C, (2003) Global burden of maternal sepsis in the year 2000. Geneva, Switzerland: World Health Organization. Available: http://www.who.int/healthinfo/statistics/bod_maternalsepsis.pdf. Accessed 23 August 2009.
38. AbouZahr C, Wardlaw T, (2004) Maternal mortality in 2000: estimates developed by WHO, UNICEF and UNFPA. Geneva: World Health Organization. Available: http://www.who.int/reproductivehealth/publications/monitoring/9241562706/en/index.html. Accessed 23 August 2009.
39. Henshaw SK, Singh S, Haas T (1999) The incidence of abortion worldwide. Int Fam Plann Persp 25: S30-S38.
40. Shah I, Ahman E (2004) Age patterns of unsafe abortion in developing country regions. Reprod Health Matters 12: S9-S17.
41. Berer M (2004) National laws and unsafe abortion: the parameters of change. Reprod Health Matters 12: 1-8.
42. The Alan Guttmacher Institute (AGI) (2006) Preventing unsafe abortion and its consequences: priorities for research and action. New York: Alan Guttmacher Institute. Available: http://www.guttmacher.org/pubs/2006/07/10/PreventingUnsafeAbortion.pdf. Accessed 24 August 2009.
43. The Alan Guttmacher Institute (AGI) (2007) Facts on induced abortion worldwide: worldwide incidence and trends. Available: http://www.guttmacher.org/pubs/fb_IAW.html. Accessed 18 August 2009.
44. Lule E, Singh S, Chowdury SA (2007) Fertility regulation behaviors and their costs: contraception and unintended pregnancies in Africa and Eastern Europe & Central Asia. Washington (D.C.): World Bank. Available: http://siteresources.worldbank.org/HEALTHNUTRITIONANDPOPULATION/Resources/281627-1095698140167/FertilityRegulationsFinal.pdf. Accessed 24 August 2009.
45. Murray CJL, Lopez AD (1996) Estimating causes of death: new methods and global and regional applications for 1990. Murray CJL, Lopez AD, eds. The global burden of disease, vol. 1 of Global burden of disease and injury series. Cambridge: Harvard University Press. pp 117-200.
46. Murray CJL, Lopez AD, eds (1998) Health dimensions of sex and reproduction. Cambridge: Harvard School of Public Health.
47. Ahman E, Dolea C, Shah I, (2006) The global burden of unsafe abortion in the year 2000, Geneva: World Health Organization, Available: http://www.who.int/healthinfo/statistics/bod_abortions.pdf. Accessed 4 August 2008.
48. Singh S (2006) Hospital admissions resulting from unsafe abortion: estimates from 13 developing countries. Lancet 368: 1887-1892.
49. Biswas AB, Das DK, Misra R, Roy RN, Ghosh D, et al. (2005) Availability and use of emergency obstetric care services in four districts of West Bengal, India. J Health Popul Nutr 23: 266-274.
50. Ahman E, Shah I, (2007) Unsafe abortion: global and regional estimates of unsafe abortion and associated mortality in 2003 (5th edn). Geneva: World Health Organization. Available: http://www.who.int/reproductivehealth/publications/unsafe_abortion/9789241596121/en/index.html. Accessed 24 August 2009.
51. Ahman E, Shah I, Unsafe abortion: global and regional estimates of unsafe abortion and associated mortality in 2000 (4th edn). Geneva: World Health Organization. Available: http://www.who.int/reproductivehealth/publications/unsafe_abortion/9241591803/en/index.html. Accessed 24 August 2009.
52. Gulmezoglu AM, Villar J, Ngoc NT, Piaggio G, Carroli G, et al. (2001) WHO multicentre randomised trial of misoprostol in the management of the third stage of labour. Lancet 358: 689-695.
53. Johanson RB, Menon BK (2000) Vacuum extraction versus forceps for assisted vaginal delivery. Cochrane Database Syst Rev 2: CD000224.
54. Hofmeyr GJ, Kulier R, (2000) External cephalic version for breech presentation at term. Cochrane Database Syst Rev 2: CD000083.
55. Hofmeyr GJ, Hannah ME (2003) Planned Caesarean section for term breech delivery. Cochrane Database Syst Rev 3: CD000166.
56. Schuitemaker N, van Roosmalen J, Dekker G, Van Dongen P, van Geijn H, et al. (1997) Maternal mortality after cesarean section in The Netherlands. Acta Obstet Gynecol Scand 76: 332-334.
57. Magpie Trial Collaborative Group (2002) Do women with pre-eclampsia and their babies benefit from magnesium sulphate? The Magpie Trial: a randomised placebo controlled trial. Lancet 359: 1877-1890.
58. Duley L, Gulmezoglu A, Hender-Sonsmart D (2003) Magnesium sulphate and other anticonvulsants for women with eclampsia. Cochrane Database Syst Rev 2: CD000025.
59. Crowther C, Hiller J, Doyle L, (2002) Magnesium sulphate for preventing preterm birth in threatened preterm labour. Cochrane Database Syst Rev 4: CD001060.
60. French LM (2003) Prevention and treatment of postpartum endometritis. Curr Womens Health Rep 4: 274-279.
61. French LM, Smaill FM (2004) Antibiotic regimens for endometritis after delivery. Cochrane Database Syst Rev 4: CD001067.
62. Koonin LM, Smith JC, Ramick M, (1993) Abortion surveillance-United States, 1990. MMWR CDC Surveill Summ 42: 29-57.
63. Institute of Medicine (IOM) (1975) Legalized abortion and the public health; report of a study by a committee of the Institute of Medicine. Washington (D.C.): National Academy of Sciences.
64. Grimes DA (2005) Risks of mifepristone abortion in context. Contraception 71: 161.
65. World Bank (2002) India's transport sector: the challenges ahead. Vol 1. Washington (D.C.): World Bank Group. Available: http://www-wds.worldbank.org/external/default/main?pagePK=64193027&piPK=64187937&theSitePK=523679&menuPK=64187510&searchMenuPK=64187283&theSitePK=523679&entityID=000094946_02070604022321&searchMenuPK=64187283&theSitePK=523679. Accessed 23 August 2009.
66. PMGSY (Pradhan Mantri Gram Sadak Yojana) (2006) Briefing book. Available: http://pmgsy.nic.in/. Accessed 27 July 27 2009.
67. Katrak H (2008) Measuring the shortage of medical practitioners in rural and urban areas in developing countries: a simple framework and simulation exercise with data from India. Int J Health Plann Manage 23: 93-105.
68. Ma S, Sood N A comparison of the health systems in China and India. Rand Corporation. Available: http://www.rand.org/pubs/occasional_papers/2008/RAND_OP212.pdf. Accessed 27 July 2009.
69. Harlap S, Shiono PH, Ramcharan S (1980) A life table of spontaneous abortions and the effects of age, parity and other variables. Porter IH, Hook EB, eds. Human embryonic and fetal death. New York: Academic Press. pp 145-158.
70. Menken J, Rahman MO (2006) Chapter 3: Reproductive health. Merson MH, Black RE, Mills AJ, eds. International public health: diseases, programs, systems, and policies, 2nd ed. Sudsbury (Massachusetts): Jones and Bartlett Publishers. pp 71-125.
71. Brabin BJ, Hakimi M, Pelletier D, (2001) An analysis of anemia and pregnancyrelated maternal mortality. J Nutr 131: 604S-614S.
72. Hofmeyr GJ, Gulmezoglu AM (2008) Misoprostol for the prevention and treatment of pospartum hemorrhage. Best Practice & Research Clinical Obstet and Gynaec 22: 1025-1041.
73. Cahuana-Hurtado L, Sosa-Rubi S, Bertozzi S (2004) The application of the mother baby package reproductive health costing spreadsheet in Morelos: National Institute of Public Health, Division of Health Economics and Policy, Mexico.
74. Thaddeus S, Maine D (1994) Too far to walk: maternal mortality in context. Soc Sci Med 38: 1091-1110.
75. International Institute for Population Sciences (IIPS) and ORC Macro (2007) National Family Health Survey (NFHS-3), 2005-06: India. Maternal health, Chapter 8. Mumbai: IIPS. 191-222 Available: http://www.nfhsindia.org/NFHS-3%20Data/VOL-1/india_volume_I_chapter_8_corrected_for_website_17oct08.pdf. Accessed 23 August 2009.
76. International Institute for Population Sciences (IIPS) (2006) Reproductive and Child Health Project. District Level Household Survey. DLHS-2. 2002-2004. Available: http://www.rchiips.org/pdf/rch2/National_Report_RCH-II.pdf. Accessed 1 September 2009.
77. International Institute for Population Sciences (IIPS) (2007) Fact sheet: Uttar Pradesh. Reproductive and Child Health Project. District Level Household and Facility Survey. DLHS-3. Available: http://www.rchiips.org/pdf/rch3/state/Uttar-Pradesh.pdf. Accessed 1 September 2009.
78. International Institute for Population Sciences (IIPS) (2007) Fact sheet: Rajasthan. Reproductive and Child Health Project. District Level Household and Facility Survey. DLHS-3. Available: http://www.rchiips.org/pdf/rch3/state/Rajsthan.pdf. Accessed 1 September 2009.
79. Vora KS, Mavalankar DV, Ramani KV, Upadhyaya M, Sharma B, et al. (2009) Maternal health situation in India: a case study. J Health Popul Nutr 27: 184-201.
80. Iyengar SD, Iyengar K, Gupta V (2009) Maternal health: a case study of Rajasthan. J Health Popul Nutr 27: 271-292.
81. Iyengar SD, Iyengar K, Suhalka V, Agarwal K (2009) Comparison of domiciliary and institutional delivery-care practices in Rural Rajasthan, India. J Health Popul Nutr 27: 303-312.
82. Iyengar K, Iyengar SD, Suhalka V, Dashora K (2009) Pregnancy-related deaths in rural Rajasthan, India: exploring causes, context, and care-seeking through verbal autopsy. J Health Popul Nutr 27: 293-302.
83. Mavalankar DV, Vora KS, Ramani KV, Raman P, Sharma B, et al. (2009) Maternal health in Gujarat, India: a case study. J Health Popul Nutr 27: 235-248.
84. AMDD Working Group on Indicators (2002) Program note: using UN process indicators to assess needs in emergency obstetric services: Bhutan, Cameroon and Rajasthan, India. Int J Gynaecol Obstet 77: 277-284.
85. World Health Organization (WHO) (2006) World Health Report: working together for health. Geneva: World Health Organization. Available: http://www.who.int/whr/2006/en/index.html. Accessed 23 August 2009.
86. UNICEF, WHO, UNFPA (2007) Maternal mortality declining in middleincome countries; women still die in pregnancy and childbirth in low-income countries. UNICEF, WHO, UNFPA Joint Press Release. Available: http://www.unicef.org/media/media_41208.html. Accessed 27 July 2009.
87. United Nations (UN), Department of Economic and Social Affairs, Population Division (2007) World Population Prospects: the 2006 revision. CD-ROM edition - extended dataset in Excel and ASCII formats. New York: United Nations.
88. UNFPA (2007) Reproductive Health Costing Tools Model. New York: UNFPA. Available: http://www.who.int/pmnch/topics/economics/costing_tools/en/index15.html. Accessed 27 July 2009.
89. International Labour Organization (ILO). Laborsta database. Available: http://laborsta.ilo.org/.Accessed 27 July 2009.
90. UNICEF Supply Division. Available: http://www.supply.unicef.dk/catalogue/. Accessed 27 July 2009.
91. Management Sciences for Health (MSH). International Drug Price Indicator Guide (IDPIG). Available: http://erc.msh.org/mainpage.cfm?file=1.0.htm&id=1&temptitle=Introduction&module=DMP&language=English. Accessed 27 July 2009.
92. Duggal R (2004) The political economy of abortion in India: cost and expenditure patterns. Reprod Health Matters 12: S130-S137.
93. Borghi J, Ensor T, Somanathan A, Lissner C, Mills A, on behalf of The Lancet Maternal Survival Series steering group (2006) Mobilising financial resources for maternal health. Lancet 368: 1457-1465.
94. Bhat R, Mavalankar DV, Singh PV, Singh N (2009) Maternal healthcare financing: Gujarat's Chiranjeevi Scheme and its beneficiaries. J Health Popul Nutr 27: 249-258.
95. Jamison DT, Breman JG, Measham AR, Alleyne G, Claeson M, et al. (2006) Disease control priorities in developing countries. 2nd edition. Washington (D.C.): The International Bank for Reconstruction and Development/The World Bank. Available: http://www.dcp2.org. Accessed 4 May 2009.
96. Laxminarayan R, Chow J, Shahid-Salles SA (2006) Intervention cost-effectiveness: overview of main messages. Disease control priorities in developing countries. 2nd edition. 35-86. New York: Oxford University Press. Available: http://www.dcp2.org/pubs/DCP/2/FullText. Accessed 4 May 2009.
97. Brenzel L, Wolfson LJ, Fox-Rushby J, Miller M, Halsey NA (2006) Vaccinepreventable diseases. Disease control priorities in developing countries. 2nd edition. 389-412. New York: Oxford University Press. Available: http://www.dcp2.org/pubs/DCP/20/FullText. Accessed 4 May 2009.
98. World Health Organization (WHO) (2001) Macroeconomics and health: investing in health for economic development: report of the Commission on Macroeconomics and Health. Geneva: World Health Organization.
99. Ekman B, Pathmanathan I, Liljestrand J (2008) Integrating health interventions for women, newborn babies, and children: a framework for action. Lancet 372: 990-1000.
100. Bang RA, Bang AT, Reddy MH, Deshmukh MD, Baitule SB, et al. (2004) Maternal morbidity during labour and the puerperium in rural homes and the need for medical attention: A prospective observational study in Gadchiroli, India. BJOG 111: 231-238.
101. Shiffman J, Smith S (2007) Generation of political priority for global health initiatives: a framework and case study of maternal mortality. Lancet 370: 1370-1379.
102. Filippi V, Ronsmans C, Campbell OM, Graham WJ, Mills A, et al. (2006) Maternal health in poor countries: the broader context and a call for action. Lancet 368: 1535-1541.
103. National Rural Health Mission (2005-2012) Mission document. Available: http://india.gov.in/outerwin.php?id=http://mohfw.nic.in/NRHM/NRHM%28National%20Rural%20Health%20Mission%29.htm. Accessed 1 September 2009.
104. Padmanaban P, Raman PS, Mavalankar DV (2009) Innovations and challenges in reducing maternal mortality in Tamil Nadu, India. J Health Popul Nutr 27: 202-219.
105. Prakasamma M (2009) Maternal mortality-reduction programme in Andhra Pradesh. J Health Popul Nutr 27: 220-234.
106. McPake B, Koblinsky M (2009) Improving maternal survival in South Asia-what can we learn from case studies? J Health Popul Nutr 27: 93-107.