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The Cost of Maternal-Newborn Illness and Mortality

Islam, Kamrul LU and Gerdtham, Ulf LU orcid (2006) In Moving Towards Universal Coverage. Issues in Maternal-Newborn Health and Poverty 2.
Abstract
The aim of this paper is to provide a systematic review of the estimation of the cost of illness (COI) related to maternal-newborn ill-health (MNIH). The methodology used for the review includes a systematic search on electronic databases for published literature and manual searches for the identification of grey (unpublished) literature. Searches are based on the major electronic databases and also on the home pages of some major international organizations. While the problems of MNIH are well known and the importance of conducting COI studies is understood, knowledge is still lacking about the magnitude of the costs of MNIH at the societal level. After a search of the existing electronic databases, only one published paper was found to... (More)
The aim of this paper is to provide a systematic review of the estimation of the cost of illness (COI) related to maternal-newborn ill-health (MNIH). The methodology used for the review includes a systematic search on electronic databases for published literature and manual searches for the identification of grey (unpublished) literature. Searches are based on the major electronic databases and also on the home pages of some major international organizations. While the problems of MNIH are well known and the importance of conducting COI studies is understood, knowledge is still lacking about the magnitude of the costs of MNIH at the societal level. After a search of the existing electronic databases, only one published paper was found to be relevant for the review; four grey studies (using REDUCE Safe Motherhood model) were also directly relevant. The published study estimates most of the cost components associated with a particular complication of MNIH -- emergency obstetric care (EmOC) -- and reports a total average cost per user of EmOC in the range of US$ 177-369 in Bangladesh. The unpublished studies based on the REDUCE model illustrate the MNIH issue more directly and elaborately; however, they estimate merely the productivity cost for four African countries. The model estimates a huge amount of productivity losses associated with MNIH: an annual total of about US$ 95 million for Ethiopia and about US$ 85 million for Uganda. To formulate an idea of issues related to data, measurement and methodology the present study also reviews COI studies on other related diseases that are similar to those on MNIH. The review reveals some difficulties in measurement and proposes to incorporate some relevant cost components that MNIH cause society and also suggests probable data sources for COI studies of MNIH. Although it is evident that MNIH results in suffering for women and children and hinders economic development through its huge burden for society, in order to stimulate further policy debate regarding its significance future research efforts should be directed towards theoretically sound and comprehensive COI studies with use of longitudinal and experimental data. (Less)
Please use this url to cite or link to this publication:
author
and
organization
publishing date
type
Book/Report
publication status
published
subject
keywords
Developing CountriesProgress ReportCost Benefit AnalysisWomen in Development, Pregnant Women, Infant, Maternal Mortality, Neonatal Mortality, Neonatal Diseases and Abnormalities, Pregnancy Complications, WHO, Health Insurance, Cost Effectiveness, Quantitative Evaluation, Evaluation, Economic Development, Economic Factors, Population Characteristics, Demographic Factors, PopulationYouth, Age Factors, Mortality, Population Dynamics, Infant Mortality, Diseases, UN, International Agencies, Organizations, Political Factors, Sociocultural Factors, Financial Activities, Evaluation Indexes
in
Moving Towards Universal Coverage. Issues in Maternal-Newborn Health and Poverty
volume
2
pages
37 pages
publisher
World Health Organization
report number
2
ISSN
1990-5130
ISBN
9241594497
language
English
LU publication?
yes
id
6bf2f9bf-032b-49c9-a284-f6a4e02cb733 (old id 1136302)
alternative location
http://www.who.int/reproductive-health/universal_coverage/issue2/costsmnh_gerdtham2.pdf
date added to LUP
2016-04-01 16:27:30
date last changed
2019-03-08 02:53:34
@techreport{6bf2f9bf-032b-49c9-a284-f6a4e02cb733,
  abstract     = {The aim of this paper is to provide a systematic review of the estimation of the cost of illness (COI) related to maternal-newborn ill-health (MNIH). The methodology used for the review includes a systematic search on electronic databases for published literature and manual searches for the identification of grey (unpublished) literature. Searches are based on the major electronic databases and also on the home pages of some major international organizations. While the problems of MNIH are well known and the importance of conducting COI studies is understood, knowledge is still lacking about the magnitude of the costs of MNIH at the societal level. After a search of the existing electronic databases, only one published paper was found to be relevant for the review; four grey studies (using REDUCE Safe Motherhood model) were also directly relevant. The published study estimates most of the cost components associated with a particular complication of MNIH -- emergency obstetric care (EmOC) -- and reports a total average cost per user of EmOC in the range of US$ 177-369 in Bangladesh. The unpublished studies based on the REDUCE model illustrate the MNIH issue more directly and elaborately; however, they estimate merely the productivity cost for four African countries. The model estimates a huge amount of productivity losses associated with MNIH: an annual total of about US$ 95 million for Ethiopia and about US$ 85 million for Uganda. To formulate an idea of issues related to data, measurement and methodology the present study also reviews COI studies on other related diseases that are similar to those on MNIH. The review reveals some difficulties in measurement and proposes to incorporate some relevant cost components that MNIH cause society and also suggests probable data sources for COI studies of MNIH. Although it is evident that MNIH results in suffering for women and children and hinders economic development through its huge burden for society, in order to stimulate further policy debate regarding its significance future research efforts should be directed towards theoretically sound and comprehensive COI studies with use of longitudinal and experimental data.},
  author       = {Islam, Kamrul and Gerdtham, Ulf},
  institution  = {World Health Organization},
  isbn         = {9241594497},
  issn         = {1990-5130},
  language     = {eng},
  number       = {2},
  series       = {Moving Towards Universal Coverage. Issues in Maternal-Newborn Health and Poverty},
  title        = {The Cost of Maternal-Newborn Illness and Mortality},
  url          = {http://www.who.int/reproductive-health/universal_coverage/issue2/costsmnh_gerdtham2.pdf},
  volume       = {2},
  year         = {2006},
}