Cost and impact of scaling up interventions to save lives of mothers and children: taking South Africa closer to MDGs 4 and 5

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dc.contributor.authorChola, M
dc.contributor.authorPillay, Y
dc.contributor.authorBarron, P
dc.contributor.authoret al
dc.date.accessioned2016-02-15T12:30:31Z
dc.date.available2016-02-15T12:30:31Z
dc.date.issued2015
dc.departmentEpidemiology and Biostatistics
dc.descriptionKIMen_ZA
dc.description.abstractBACKGROUND:South Africa has made substantial progress on child and maternal mortality, yet many avoidable deaths of mothers and children still occur. This analysis identifies priority interventions to be scaled up nationally and projects the potential maternal and child lives saved. DESIGN: We modelled the impact of maternal, newborn and child interventions using the Lives Saved Tools Projections to 2015 and used realistic coverage increases based on expert opinion considering recent policy change, financial and resource inputs, and observed coverage change. A scenario analysis was undertaken to test the impact of increasing intervention coverage to 95%. RESULTS:By 2015, with realistic coverage, the maternal mortality ratio (MMR) can reduce to 153 deaths per 100,000 and child mortality to 34 deaths per 1,000 live births. Fifteen interventions, including labour and delivery management, early HIV treatment in pregnancy, prevention of mother-to-child transmission and handwashing with soap, will save an additional 9,000 newborns and children and 1,000 mothers annually. An additional US$370 million (US$7 per capita) will be required annually to scale up these interventions. When intervention coverage is increased to 95%, breastfeeding promotion becomes the top intervention, the MMR reduces to 116 and the child mortality ratio to 23.en_ZA
dc.identifier.citationChola, L., Pillay, Y., Barron,P., etc.2015. Cost and impact of scaling up interventions to save lives of mothers and children: taking South Africa closer to MDGs 4 and 5. Global health action; 8:27265en_ZA
dc.identifier.urihttp://hdl.handle.net/10539/19528
dc.language.isoenen_ZA
dc.subjectChild Healthen_ZA
dc.subjectSouth Africaen_ZA
dc.subjectMaternal healthen_ZA
dc.subjectCosts and Cost Analysisen_ZA
dc.titleCost and impact of scaling up interventions to save lives of mothers and children: taking South Africa closer to MDGs 4 and 5en_ZA
dc.typeArticleen_ZA
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