Evidence map›Paper›PMID 31699743›Full record

ArticleBMJ open2019

Cost-effectiveness of conditional cash transfers to retain women in the continuum of care during pregnancy, birth and the postnatal period: protocol for an economic evaluation of the Afya trial in Kenya.

Neha Batura, Jolene Skordis, Tom Palmer, Aloyce Odiambo, Andrew Copas, Fedra Vanhuyse, Sarah Dickin, Alie Eleveld, Alex Mwaki, Caroline Ochieng and 1 more

Registry-linked trialAbstract read
In one paragraph

Article in BMJ open, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03021070 (Afya Credit Incentives for Improved Maternal and Child Health Outcomes in Kenya), which is not on this map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–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.

NCT03021070 naunknown statusnot on this map

Afya Credit Incentives for Improved Maternal and Child Health Outcomes in Kenya

TypeinterventionalSponsorOnyango SangoroRan2017 to 2019Enrolled7,200ConditionsMaternal and Child HealthArmsConditional cash transfer
3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

  1. Trial
  2. Trial
  3. Article
  4. Article
  5. 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

11 authors.

Neha BaturaInstitute for Global Health, University College London, London, UK n.batura@ucl.ac.uk.ORCID 0000-0002-8175-8125
Jolene SkordisInstitute for Global Health, University College London, London, UK.ORCID 0000-0002-8633-0208
Tom PalmerInstitute for Global Health, University College London, London, UK.
Aloyce OdiamboSafe Water and AIDS Project, Kisumu, Kenya.
Andrew CopasInstitute for Global Health, University College London, London, UK.
Fedra VanhuyseStockholm Environment Institute, Stockholm, Sweden.
Sarah DickinStockholm Environment Institute, Stockholm, Sweden.
Alie EleveldSafe Water and AIDS Project, Kisumu, Kenya.
Alex MwakiSafe Water and AIDS Project, Kisumu, Kenya.
Caroline OchiengStockholm Environment Institute, Stockholm, Sweden.
Hassan Haghparast-BidgoliInstitute for Global Health, University College London, London, UK.ORCID 0000-0001-6365-2944

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionA wealth of evidence from a range of country settings indicates that antenatal care, facility delivery and postnatal care can reduce maternal and child mortality and morbidity in high-burden settings. However, the utilisation of these services by pregnant women, particularly in low/middle-income country settings, is well below that recommended by the WHO. The Afya trial aims to assess the impact, cost-effectiveness and scalability of conditional cash transfers to promote increased utilisation of these services in rural Kenya and thus retain women in the continuum of care during pregnancy, birth and the postnatal period. This protocol describes the planned economic evaluation of the Afya trial. METHODS AND ANALYSIS: The economic evaluation will be conducted from the provider perspective as a within-trial analysis to evaluate the incremental costs and health outcomes of the cash transfer programme compared with the status quo. Incremental cost-effectiveness ratios will be presented along with a cost-consequence analysis where the incremental costs and all statistically significant outcomes will be listed separately. Sensitivity analyses will be undertaken to explore uncertainty and to ensure that results are robust. A fiscal space assessment will explore the affordability of the intervention. In addition, an analysis of equity impact of the intervention will be conducted. ETHICS AND DISSEMINATION: The study has received ethics approval from the Maseno University Ethics Review Committee, REF MSU/DRPI/MUERC/00294/16. The results of the economic evaluation will be disseminated in a peer-reviewed journal and presented at a relevant international conference. TRIAL REGISTRATION NUMBER: NCT03021070.

Indexed as

Cost-Benefit AnalysisDelivery, ObstetricEvaluation Studies as TopicPostnatal CarePrenatal CareResearch DesignContinuity of Patient CareFemaleHumansKenyaPregnancyRural Populationantenatal carechild immunizationconditional cash transferscost effectiveness analysiseconomic evaluationfacility deliverymaternal and child healthpostnatal carepriority setting

Identifiers

PMID31699743
PMCPMC6858100

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Registered trials

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.