Evidence map›Paper›PMID 30779506›Full record

ArticleAnnals of global health2018

Cost Effectiveness of Mobile Health for Antenatal Care and Facility Births in Nigeria.

Diana M Bowser, Donald S Shepard, Allyala Nandakumar, Adeyemi Okunogbe, Tyler Morrill, Yara Halasa-Rappell, Monica Jordan, Farida Mushi, Carolyn Boyce, Oluwayemisi A Erhunmwunse

Abstract readMulticenter Study
In one paragraph

Article in Annals of global health, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Trial
  4. Review
  5. Article
  6. Review
  7. Appraising eHealth Investment for Africa: Scoping Review and Development of a Framework.International journal of environmental research and public health · 2024
    Article
  8. Article
  9. Review
  10. A New eHealth Investment Appraisal Framework for Africa: Validation.International journal of environmental research and public health · 2023
    Article
  11. Article
  12. Observational
  13. Article
  14. EHealth Investment Appraisal in Africa: A Scoping Review.Inquiry : a journal of medical care organization, provision and financing
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Diana M BowserHeller School for Social Policy and Management, Brandeis University, US.
Donald S ShepardHeller School for Social Policy and Management, Brandeis University, US.
Allyala NandakumarHeller School for Social Policy and Management, Brandeis University, US.
Adeyemi OkunogbePardee RAND Graduate School, US.
Tyler MorrillAbt Associates, US.
Yara Halasa-RappellHeller Schol for Social Policy and Management, Brandeis University, US.
Monica JordanHeller School for Social Policy and Management, Brandeis University, US.
Farida MushiIntraHealth International, NA.
Carolyn BoycePathfinder International US.
Oluwayemisi A ErhunmwunsePathfinder International, US.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe use of mobile technology in the health sector, often referred to as mHealth, is an innovation that is being used in countries to improve health outcomes and increase and improve both the demand and supply of health care services. This study assesses the actual cost-effectiveness of initiating and implementing the use of the mHealth as a supply side job aid for antenatal care. The study also estimates the cost-effectiveness ratio if mHealth was also used to encourage and track women through facility delivery.

methodsThe methodology utilized a retrospective, micro-costing technique to extract costing data from health facilities and administrative offices to estimate the costs of implementing the mHealth antenatal care program and estimate the cost of facility delivery for those that used the antenatal care services in the year 2014. Five different costing tools were developed to assist in the costing analysis.

findingsThe results show that the provision of tetanus toxoid vaccination and malaria prophylaxis during pregnancy and improved labor and delivery during facility delivery contributed the most to mortality reductions for women, neonates and stillbirths in mHealth facilities versus non-mHealth facilities. The cost-effectiveness ratio of this program for antenatal care and no demand-side generation for facility delivery is US$13,739 per life saved. The cost-effectiveness ratio adding in an additional demand-side generation for facility births reduces to US$9,806 per life saved.

conclusionThese results show that mHealth programs are inexpensive and save a number of lives for the dollar investment and could save additional lives and funds if women were also encouraged to seek facility delivery.

Indexed as

Quality of Health CareCost-Benefit AnalysisFemaleFollow-Up StudiesHealth FacilitiesHealth Services Needs and DemandHumansInfant, NewbornMaternal Health ServicesNigeriaPregnancyPrenatal CareRetrospective StudiesTelemedicine

Identifiers

PMID30779506
PMCPMC6748180

What OpenQuestion holds

Textmetadata
LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.