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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
immunology and microbiology
Ambulance service within a comprehensive intervention for reproductive health in remote settings: A cost-effective intervention
Tropical Medicine and International Health, Volume 16, No. 9, Year 2011
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Description
Objective To assess the cost-effectiveness of an ambulance service within a comprehensive hospital/community-based program aimed at improving access and quality of reproductive health in poor-resources settings. Methods Obstetrical cases referred to the hospital with the ambulance during a 3-month period were prospectively recorded. Clinical indications were used to determine the effectiveness of the referral; the direct costs of the service were calculated. Overall effectiveness was then measured against WHO thresholds. Results Ninety-two obstetrical referrals were recorded. Eleven (12%) were considered effective, corresponding to 611.7years saved. Cost per year saved was 15.82 US dollars which about half of WHO's 30 US dollar benchmark defining very attractive interventions. Sensitivity analyses on the costs of the ambulance and the rate of effective referrals emphasized the robustness of the result. Conclusions The cost-effectiveness profile of an ambulance service within a series of interventions aimed at improving reproductive health in remote settings is very attractive. © 2011 Blackwell Publishing Ltd.
Authors & Co-Authors
Somigliana, Edgardo D.
Italy, Milan
Fondazione Irccs Ca' Granda Ospedale Maggiore Policlinico
Sabino, Alice
Uganda, Kampala
Cuamm
Nkurunziza, Richard
Uganda, Kampala
Cuamm
Okello, Emmy S.
Uganda
John's Pope Hospital
Quaglio, Gianluca
Italy, Verona
Università Degli Studi Di Verona
Lochoro, Peter
Uganda, Kampala
Cuamm
Putoto, Giovanni
Italy, Padua
Cuamm
Manenti, Fabio
Italy, Padua
Cuamm
Statistics
Citations: 8
Authors: 8
Affiliations: 5
Identifiers
Doi:
10.1111/j.1365-3156.2011.02819.x
ISSN:
13602276
e-ISSN:
13653156
Research Areas
Health System And Policy
Sexual And Reproductive Health
Study Design
Randomised Control Trial