costs and cost-effectiveness of training traditional birth attendants to reduce neonatal mortality in the lufwanyama neonatal survival study (lunesp)成本和成本效益的培训传统的助产士降低新生儿死亡率lufwanyama新生儿生存研究(lunesp).pdfVIP
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costs and cost-effectiveness of training traditional birth attendants to reduce neonatal mortality in the lufwanyama neonatal survival study (lunesp)成本和成本效益的培训传统的助产士降低新生儿死亡率lufwanyama新生儿生存研究(lunesp)
Costs and Cost-Effectiveness of Training Traditional Birth Attendants to Reduce Neonatal Mortality in the Lufwanyama Neonatal Survival Study (LUNESP) 1,2 1 1,2 3 3,4 Lora L. Sabin *, Anna B. Knapp , William B. MacLeod , Grace Phiri-Mazala , Joshua Kasimba , Davidson H. Hamer1,2,4,5, Christopher J. Gill1,2 1 Center for Global Health and Development, Boston University, Boston, Massachusetts, United States of America, 2 Department of International Health, Boston University School of Public Health, Boston, Massachusetts, United States of America, 3 Lufwanyama District Health Management Team, Kalulushi, Zambia, 4 Zambia Centre for Applied Health Research and Development, Lusaka, Zambia, 5 Infectious Diseases Section, Department of Medicine, Boston University School of Medicine, Boston, Massachusetts, United States of America Abstract Background: The Lufwanyama Neonatal Survival Project (‘‘LUNESP’’) was a cluster randomized, controlled trial that showed that training traditional birth attendants (TBAs) to perform interventions targeting birth asphyxia, hypothermia, and neonatal sepsis reduced all-cause neonatal mortality by 45%. This companion analysis was undertaken to analyze intervention costs and cost-effectiveness, and factors that might improve cost-effectiveness. Methods and Findings: We calculated LUNESP’s financial and economic costs and the economic cost of implementation for a forecasted ten-year program (2011–2020). In each case, we calculated the incremental cost per death avoided and disability-adjusted life years (DALYs) averted in real 2011 US dollars. The forecasted 10-y
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