| Cost-effectiveness of essential newborn care training in urban first-level facilities. | |
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MedLine Citation:
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PMID: 21502223 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVE: To determine the cost-effectiveness of the World Health Organization (WHO) Essential Newborn Care (ENC) training of health care providers in first-level facilities in the 2 largest cities in Zambia. METHODS: Data were extracted from a study in which the effectiveness of the ENC training was evaluated (including universal precautions and cleanliness, routine neonatal care, resuscitation, thermoregulation, breastfeeding, skin-to-skin care, care of the small infant, danger signs, and common illnesses). The costs to train an ENC instructor for each first-level delivery facility and the costs of salary/benefits for 2 coordinators responsible for maintenance of the program were recorded in 2005 US dollars. The incremental costs per life gained and per disability-adjusted life-year averted were calculated. SETTING: A 5-day ENC training-of-trainers was conducted in Lusaka, Zambia, to certify 18 college-trained midwives as ENC instructors. The instructors trained all clinic midwives working in their first-level facilities as part of a before-and-after study of the effect of ENC training on early neonatal mortality conducted from Oct 2004 to Nov 2006. RESULTS: All-cause 7-day (early) neonatal mortality decreased from 11.5 per 1000 to 6.8 per 1000 live births after ENC training of the clinic midwives (relative risk: 0.59; 95% confidence interval: 0.48-0.77; P < .001; 40 615 births). The intervention costs were $208 per life saved and $5.24 per disability-adjusted life-year averted. CONCLUSIONS: ENC training of clinic midwives who provide care in low-risk facilities is a low-cost intervention that can reduce early neonatal mortality in these settings. |
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Authors:
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Albert Manasyan; Elwyn Chomba; Elizabeth M McClure; Linda L Wright; Sara Krzywanski; Waldemar A Carlo; |
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Publication Detail:
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Type: Journal Article; Research Support, N.I.H., Extramural Date: 2011-04-18 |
Journal Detail:
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Title: Pediatrics Volume: 127 ISSN: 1098-4275 ISO Abbreviation: Pediatrics Publication Date: 2011 May |
Date Detail:
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Created Date: 2011-05-02 Completed Date: 2011-07-11 Revised Date: 2012-01-27 |
Medline Journal Info:
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Nlm Unique ID: 0376422 Medline TA: Pediatrics Country: United States |
Other Details:
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Languages: eng Pagination: e1176-81 Citation Subset: AIM; IM |
Affiliation:
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University of Alabama at Birmingham, 9380 Women and Infants Center, 1700 6th Avenue South, Birmingham, AL 35233, USA. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Ambulatory Care
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organization & administration Cost-Benefit Analysis Developing Countries Female Health Care Costs Health Personnel / economics*, education Humans Infant Care / economics*, standards Infant Mortality / trends* Infant, Newborn Intervention Studies Male Nurse Midwives / economics, education* Pediatric Nursing / education Program Evaluation Risk Assessment World Health Organization Zambia |
| Grant Support | |
ID/Acronym/Agency:
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R01 HD053055/HD/NICHD NIH HHS; U01 HD043464/HD/NICHD NIH HHS |
| Comments/Corrections | |
Comment In:
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Evid Based Nurs. 2012 Jan;15(1):14-5
[PMID:
21954202
]
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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