Document Detail


Evaluation of the impact of the Mother and Infant Health Project in Ukraine.
MedLine Citation:
PMID:  20593450     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
This paper exploits a unique opportunity to evaluate the impact of the quality change in the labor and delivery services brought about by the Mother and Infant Health Project in Ukraine. Employing program evaluation methods, we find that the administrative units participating in the Project have exhibited greater improvements in both maternal and infant health compared to the control ones. Among the infant health characteristics, the MIHP impact is most pronounced for infant mortality resulting from deviations in perinatal period. As for the maternal health, the MIHP is the most effective at combating anemia, blood circulation and urinary-genital system complications, and late toxicosis. The analysis suggests that the effects are due to early attendance of antenatal clinics, lower share of C-sections, and greater share of normal deliveries. Preliminary cost-effectiveness analysis shows enormous benefit per dollar spent on the project: the cost to benefit ratio is one to 97 taking into account both maternal and infant lives saved as well as cost savings due to the changes in labor and delivery practices.
Authors:
Olena Y Nizalova; Maria Vyshnya
Publication Detail:
Type:  Evaluation Studies; Journal Article    
Journal Detail:
Title:  Health economics     Volume:  19 Suppl     ISSN:  1099-1050     ISO Abbreviation:  Health Econ     Publication Date:  2010 Sep 
Date Detail:
Created Date:  2010-08-30     Completed Date:  2010-12-27     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9306780     Medline TA:  Health Econ     Country:  England    
Other Details:
Languages:  eng     Pagination:  107-25     Citation Subset:  IM    
Copyright Information:
(c) 2010 John Wiley & Sons, Ltd.
Affiliation:
Kyiv School of Economics, Kyiv Economics Institute, Kyiv, Ukraine. nizalova@eerc.kiev.ua
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MeSH Terms
Descriptor/Qualifier:
Child Health Services / economics,  standards*
Cost-Benefit Analysis
Delivery, Obstetric / economics*,  standards
Female
Humans
Infant
Infant Mortality*
Infant Welfare / economics
Maternal Health Services / economics,  standards*
Maternal Welfare / economics
Maternal-Child Health Centers / organization & administration
Pilot Projects
Pregnancy
Pregnancy Complications / prevention & control
Ukraine

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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