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Appendix 4.8
Appendix 4.8: Economic analyses of interventions targeted at urban dwelling poor populations to reduce maternal and
infant mortality
Author
(year)
(IV)/(EV) and
settings
Cattaneo
(1998)
(++)/(++)
Ethiopia
(and,
Indonesia
and Mexico –
both
excluded on
income
grounds)
Intervention
(I) and
comparator
(C)
I: Kangaroo
Mother Care
(KMC)
C: Warm
room or
incubator
care
Target
population
and duration
of economic
analysis
100 lowbirthweight
babies –
1,000g–
1,999g with
no other
major
complicating
factors and
mother
willing to
collaborate.
Mothers from
all social
groups.
30 days
Study
design
RCT
CEA
Cost results Mortality-related
effectiveness results
Cost data not
reported
separately for
Ethiopia, but no
differences in
findings across
countries noted.
Overall across
the three study
areas salary
costs were
$11,788 in KMC
group and
$29,888 in
comparator.
Other hospital
costs also lower
$7,501 versus
$9,876. P values
not reported.
There were two
deaths in the KMC
group and three in the
comparator group.
This difference was
not significant.
Perspective/price
year
Health sector
costs
US $ price year
not stated
Synthesis of
costs and
effectiveness
data
No synthesis of
costs and
benefits as costs
for intervention
group were lower
and outcomes
similar.
What are the effects of different models of delivery for improving maternal and infant health outcomes for poor people in urban areas in low income
and lower middle income countries?
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