ArticlePloS one2019
Costs and cost-effectiveness analyses of mCARE strategies for promoting care seeking of maternal and newborn health services in rural Bangladesh.
Article in PloS one, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 4 of them syntheses that pooled it.
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Who cites it
13 citing papers in PubMed, 4 syntheses or guidelines pooled it.
- Evaluations of digital public health interventions in the WHO Southeast Asia Region: a systematic literature review.International journal of technology assessment in health care · 2024Pooled it
- Economic Evaluations of Digital Health Interventions for Children and Adolescents: Systematic Review.Journal of medical Internet research · 2023Pooled it
- mHealth interventions to reduce maternal and child mortality in Sub-Saharan Africa and Southern Asia: A systematic literature review.Frontiers in global women's health · 2022Pooled it
- The cost-effectiveness of digital health interventions: A systematic review of the literature.Frontiers in public health · 2022Pooled it
- Review
- Integration of a tele-dermatology model for Epidermolysis Bullosa improves patient outreach: a before and after observational study.Frontiers in digital health · 2026Article
- Willingness to pay for digital care for NCD in Ghana: an exploratory study of three health facilities in Ghana.BMC health services research · 2025Article
- Article
- Preliminary impact of an mHealth education and social support intervention on maternal health knowledge and outcomes among postpartum mothers in Punjab, India.BMC pregnancy and childbirth · 2025Article
- A cost description of the setup costs of community-owned maternity waiting homes in rural Zambia.PLOS global public health · 2023Article
- A Mobile Education and Social Support Group Intervention for Improving Postpartum Health in Northern India: Development and Usability Study.JMIR formative research · 2022Article
- Article
- Predictors of neonatal mortality: development and validation of prognostic models using prospective data from rural Bangladesh.BMJ global health · 2020Article
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11 authors.
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Abstract
objectiveWe examined the incremental cost-effectiveness between two mHealth programs, implemented from 2011 to 2015 in rural Bangladesh: (1) Comprehensive mCARE package as an intervention group and (2) Basic mCARE package as a control group.
methodsBoth programs included a core package of census enumeration and pregnancy surveillance provided by an established cadre of digitally enabled community health workers (CHWs). In the comprehensive mCARE package, short message service (SMS) and home visit reminders were additionally sent to pregnant women (n = 610) and CHWs (n = 70) to promote the pregnant women's care-seeking of essential maternal and newborn care services. Economic costs were assessed from a program perspective inclusive of development, start-up, and implementation phases. Effects were calculated as disability adjusted life years (DALYs) and the number of newborn deaths averted. For comparative purposes, we normalized our evaluation to estimate total costs and total newborn deaths averted per 1 million people in a community for both groups. Uncertainty was assessed using probabilistic sensitivity analyses with Monte Carlo simulation.
resultsThe addition of SMS and home visit reminders based on a mobile phone-facilitated pregnancy surveillance system was highly cost effective at a cost per DALY averted of $31 (95% uncertainty range: $19-81). The comprehensive mCARE program had at least 88% probability of being highly cost-effective as compared to the basic mCARE program based on the threshold of Bangladesh's GDP per capita.
conclusionmHealth strategies such as SMS and home visit reminders on a well-established pregnancy surveillance system may improve service utilization and program cost-effectiveness in low-resource settings.
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