Cost Effectiveness of Mobile Health for Antenatal Care and Facility Births in Nigeria

Background: The use of mobile technology in the health sector, often referred to as mHealth, is an innovation that is being used in countries to improve health outcomes and increase and improve both the demand and supply of health care services. This study assesses the actual cost-effectiveness of i...

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Autores principales:	Diana M. Bowser, Donald S. Shepard, Allyala Nandakumar, Adeyemi Okunogbe, Tyler Morrill, Yara Halasa-Rappell, Monica Jordan, Farida Mushi, Carolyn Boyce, Oluwayemisi A. Erhunmwunse
Formato:	article
Lenguaje:	EN
Publicado:	Ubiquity Press 2018
Materias:	Infectious and parasitic diseases RC109-216 Public aspects of medicine RA1-1270
Acceso en línea:	https://doaj.org/article/529d3d0ecc3848da8659a91210846f16
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spelling	oai:doaj.org-article:529d3d0ecc3848da8659a91210846f162021-12-02T01:29:16ZCost Effectiveness of Mobile Health for Antenatal Care and Facility Births in Nigeria2214-999610.29024/aogh.2364https://doaj.org/article/529d3d0ecc3848da8659a91210846f162018-11-01T00:00:00Zhttps://annalsofglobalhealth.org/articles/2364https://doaj.org/toc/2214-9996Background: The use of mobile technology in the health sector, often referred to as mHealth, is an innovation that is being used in countries to improve health outcomes and increase and improve both the demand and supply of health care services. This study assesses the actual cost-effectiveness of initiating and implementing the use of the mHealth as a supply side job aid for antenatal care. The study also estimates the cost-effectiveness ratio if mHealth was also used to encourage and track women through facility delivery. Methods: The methodology utilized a retrospective, micro-costing technique to extract costing data from health facilities and administrative offices to estimate the costs of implementing the mHealth antenatal care program and estimate the cost of facility delivery for those that used the antenatal care services in the year 2014. Five different costing tools were developed to assist in the costing analysis. Findings: The results show that the provision of tetanus toxoid vaccination and malaria prophylaxis during pregnancy and improved labor and delivery during facility delivery contributed the most to mortality reductions for women, neonates and stillbirths in mHealth facilities versus non-mHealth facilities. The cost-effectiveness ratio of this program for antenatal care and no demand-side generation for facility delivery is US$13,739 per life saved. The cost-effectiveness ratio adding in an additional demand-side generation for facility births reduces to US$9,806 per life saved. Conclusion: These results show that mHealth programs are inexpensive and save a number of lives for the dollar investment and could save additional lives and funds if women were also encouraged to seek facility delivery.Diana M. BowserDonald S. ShepardAllyala NandakumarAdeyemi OkunogbeTyler MorrillYara Halasa-RappellMonica JordanFarida MushiCarolyn BoyceOluwayemisi A. ErhunmwunseUbiquity PressarticleInfectious and parasitic diseasesRC109-216Public aspects of medicineRA1-1270ENAnnals of Global Health, Vol 84, Iss 4 (2018)
institution	DOAJ
collection	DOAJ
language	EN
topic	Infectious and parasitic diseases RC109-216 Public aspects of medicine RA1-1270
spellingShingle	Infectious and parasitic diseases RC109-216 Public aspects of medicine RA1-1270 Diana M. Bowser Donald S. Shepard Allyala Nandakumar Adeyemi Okunogbe Tyler Morrill Yara Halasa-Rappell Monica Jordan Farida Mushi Carolyn Boyce Oluwayemisi A. Erhunmwunse Cost Effectiveness of Mobile Health for Antenatal Care and Facility Births in Nigeria
description	Background: The use of mobile technology in the health sector, often referred to as mHealth, is an innovation that is being used in countries to improve health outcomes and increase and improve both the demand and supply of health care services. This study assesses the actual cost-effectiveness of initiating and implementing the use of the mHealth as a supply side job aid for antenatal care. The study also estimates the cost-effectiveness ratio if mHealth was also used to encourage and track women through facility delivery. Methods: The methodology utilized a retrospective, micro-costing technique to extract costing data from health facilities and administrative offices to estimate the costs of implementing the mHealth antenatal care program and estimate the cost of facility delivery for those that used the antenatal care services in the year 2014. Five different costing tools were developed to assist in the costing analysis. Findings: The results show that the provision of tetanus toxoid vaccination and malaria prophylaxis during pregnancy and improved labor and delivery during facility delivery contributed the most to mortality reductions for women, neonates and stillbirths in mHealth facilities versus non-mHealth facilities. The cost-effectiveness ratio of this program for antenatal care and no demand-side generation for facility delivery is US$13,739 per life saved. The cost-effectiveness ratio adding in an additional demand-side generation for facility births reduces to US$9,806 per life saved. Conclusion: These results show that mHealth programs are inexpensive and save a number of lives for the dollar investment and could save additional lives and funds if women were also encouraged to seek facility delivery.
format	article
author	Diana M. Bowser Donald S. Shepard Allyala Nandakumar Adeyemi Okunogbe Tyler Morrill Yara Halasa-Rappell Monica Jordan Farida Mushi Carolyn Boyce Oluwayemisi A. Erhunmwunse
author_facet	Diana M. Bowser Donald S. Shepard Allyala Nandakumar Adeyemi Okunogbe Tyler Morrill Yara Halasa-Rappell Monica Jordan Farida Mushi Carolyn Boyce Oluwayemisi A. Erhunmwunse
author_sort	Diana M. Bowser
title	Cost Effectiveness of Mobile Health for Antenatal Care and Facility Births in Nigeria
title_short	Cost Effectiveness of Mobile Health for Antenatal Care and Facility Births in Nigeria
title_full	Cost Effectiveness of Mobile Health for Antenatal Care and Facility Births in Nigeria
title_fullStr	Cost Effectiveness of Mobile Health for Antenatal Care and Facility Births in Nigeria
title_full_unstemmed	Cost Effectiveness of Mobile Health for Antenatal Care and Facility Births in Nigeria
title_sort	cost effectiveness of mobile health for antenatal care and facility births in nigeria
publisher	Ubiquity Press
publishDate	2018
url	https://doaj.org/article/529d3d0ecc3848da8659a91210846f16
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Cost Effectiveness of Mobile Health for Antenatal Care and Facility Births in Nigeria

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