Please use this identifier to cite or link to this item: https://dspace.agu.edu.vn:8080/handle/agu_library/14665
Title: Cost-effectiveness analysis of active management ofthird-stage labour in Vietnam
Authors: Tsu, Vivien D
Levin, Carol
Mai, Tran T P
Hoang, V Minh
Luu, T T Huong
Keywords: Postpartum haemorrhage
Active management of third-stage labour
Oxytocin
Uniject
Cost-effectiveness
Issue Date: 1-Nov-2009
Series/Report no.: Health Policy and Planning;Volume 24, Issue 6, page 438-444
Abstract: Active management of the third stage of labour (AMTSL) using oxytocin substantially reduces postpartum haemorrhage (PPH), a leading cause of maternal mortality. An economic analysis of the use of AMTSL was conducted as part of an intervention study in Thanh Hoa Province, Vietnam. A spreadsheet was used to calculate various scenarios and estimate the costs and outcomes of the routine use of AMTSL with oxytocin in Uniject compared with oxytocin in ampoules, and AMTSL compared with no AMTSL. We estimated the health outcomes from probabilities that were generated from the effectiveness portion of the AMTSL intervention project. The study also estimates the costs of treating PPH and the net incremental costs of AMTSL (costs and savings); examines the impact of different scenarios of PPH rate and Uniject cost; and estimates the potential cost per PPH case and PPH death averted. The additional net cost per woman of providing AMTSL with ampoules was just US$0.20 in the base case; using Uniject devices added only US$0.08 more per woman to the ampoule cost. Varying the rate of PPH had the biggest effect; if the underlying PPH rate were 8%, the incremental cost of AMTSL drops to just US$0.07 per woman with ampoules and the cost to avert a case of PPH is US$2.10 with ampoules and US$4.52 with Uniject. The low net incremental cost of AMTSL suggests that the introduction of AMTSL in primary-level facilities in Vietnam can reduce the incidence of PPH and benefit women's health without adding much to national health care costs
URI: http://heapol.oxfordjournals.org/content/24/6/438.full.pdf+html
http://dspace.agu.edu.vn:8080/handle/agu_library/14665
Appears in Collections:Labor and social protection

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