Cost-effectiveness of the "helping babies breathe" program in a missionary hospital in rural Tanzania.

<h4>Objective</h4>The Helping Babies Breathe" (HBB) program is an evidence-based curriculum in basic neonatal care and resuscitation, utilizing simulation-based training to educate large numbers of birth attendants in low-resource countries. We analyzed its cost-effectiveness at a f...

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Autores principales:	Corinna Vossius, Editha Lotto, Sara Lyanga, Estomih Mduma, Georgina Msemo, Jeffrey Perlman, Hege L Ersdal
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2014
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/12622c797449463cb70122def1f2dcd1
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spelling	oai:doaj.org-article:12622c797449463cb70122def1f2dcd12021-11-25T06:09:13ZCost-effectiveness of the "helping babies breathe" program in a missionary hospital in rural Tanzania.1932-620310.1371/journal.pone.0102080https://doaj.org/article/12622c797449463cb70122def1f2dcd12014-01-01T00:00:00Zhttps://www.ncbi.nlm.nih.gov/pmc/articles/pmid/25006802/?tool=EBIhttps://doaj.org/toc/1932-6203<h4>Objective</h4>The Helping Babies Breathe" (HBB) program is an evidence-based curriculum in basic neonatal care and resuscitation, utilizing simulation-based training to educate large numbers of birth attendants in low-resource countries. We analyzed its cost-effectiveness at a faith-based Haydom Lutheran Hospital (HLH) in rural Tanzania.<h4>Methods</h4>Data about early neonatal mortality and fresh stillbirth rates were drawn from a linked observational study during one year before and one year after full implementation of the HBB program. Cost data were provided by the Tanzanian Ministry of Health and Social Welfare (MOHSW), the research department at HLH, and the manufacturer of the training material Lærdal Global Health.<h4>Findings</h4>Costs per life saved were USD 233, while they were USD 4.21 per life year gained. Costs for maintaining the program were USD 80 per life saved and USD 1.44 per life year gained. Costs per disease adjusted life year (DALY) averted ranged from International Dollars (ID; a virtual valuta corrected for purchasing power world-wide) 12 to 23, according to how DALYs were calculated.<h4>Conclusion</h4>The HBB program is a low-cost intervention. Implementation in a very rural faith-based hospital like HLH has been highly cost-effective. To facilitate further global implementation of HBB a cost-effectiveness analysis including government owned institutions, urban hospitals and district facilities is desirable for a more diverse analysis to explore cost-driving factors and predictors of enhanced cost-effectiveness.Corinna VossiusEditha LottoSara LyangaEstomih MdumaGeorgina MsemoJeffrey PerlmanHege L ErsdalPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 9, Iss 7, p e102080 (2014)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Corinna Vossius Editha Lotto Sara Lyanga Estomih Mduma Georgina Msemo Jeffrey Perlman Hege L Ersdal Cost-effectiveness of the "helping babies breathe" program in a missionary hospital in rural Tanzania.
description	<h4>Objective</h4>The Helping Babies Breathe" (HBB) program is an evidence-based curriculum in basic neonatal care and resuscitation, utilizing simulation-based training to educate large numbers of birth attendants in low-resource countries. We analyzed its cost-effectiveness at a faith-based Haydom Lutheran Hospital (HLH) in rural Tanzania.<h4>Methods</h4>Data about early neonatal mortality and fresh stillbirth rates were drawn from a linked observational study during one year before and one year after full implementation of the HBB program. Cost data were provided by the Tanzanian Ministry of Health and Social Welfare (MOHSW), the research department at HLH, and the manufacturer of the training material Lærdal Global Health.<h4>Findings</h4>Costs per life saved were USD 233, while they were USD 4.21 per life year gained. Costs for maintaining the program were USD 80 per life saved and USD 1.44 per life year gained. Costs per disease adjusted life year (DALY) averted ranged from International Dollars (ID; a virtual valuta corrected for purchasing power world-wide) 12 to 23, according to how DALYs were calculated.<h4>Conclusion</h4>The HBB program is a low-cost intervention. Implementation in a very rural faith-based hospital like HLH has been highly cost-effective. To facilitate further global implementation of HBB a cost-effectiveness analysis including government owned institutions, urban hospitals and district facilities is desirable for a more diverse analysis to explore cost-driving factors and predictors of enhanced cost-effectiveness.
format	article
author	Corinna Vossius Editha Lotto Sara Lyanga Estomih Mduma Georgina Msemo Jeffrey Perlman Hege L Ersdal
author_facet	Corinna Vossius Editha Lotto Sara Lyanga Estomih Mduma Georgina Msemo Jeffrey Perlman Hege L Ersdal
author_sort	Corinna Vossius
title	Cost-effectiveness of the "helping babies breathe" program in a missionary hospital in rural Tanzania.
title_short	Cost-effectiveness of the "helping babies breathe" program in a missionary hospital in rural Tanzania.
title_full	Cost-effectiveness of the "helping babies breathe" program in a missionary hospital in rural Tanzania.
title_fullStr	Cost-effectiveness of the "helping babies breathe" program in a missionary hospital in rural Tanzania.
title_full_unstemmed	Cost-effectiveness of the "helping babies breathe" program in a missionary hospital in rural Tanzania.
title_sort	cost-effectiveness of the "helping babies breathe" program in a missionary hospital in rural tanzania.
publisher	Public Library of Science (PLoS)
publishDate	2014
url	https://doaj.org/article/12622c797449463cb70122def1f2dcd1
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Cost-effectiveness of the "helping babies breathe" program in a missionary hospital in rural Tanzania.

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