Bulletin of the World Health Organization

Economic evaluation of neonatal care packages in a cluster-randomized controlled trial in Sylhet, Bangladesh

Amnesty E LeFevre, Samuel D Shillcutt, Hugh R Waters, Sabbir Haider, Shams El Arifeen, Ishtiaq Mannan, Habibur R Seraji, Rasheduzzaman Shah, Gary L Darmstadt, Steve N Wall, Emma K Williams, Robert E Black, Mathuram Santosham, Abdullah H Baqui & for the Projahnmo Study Group

Volume 91, Number 10, October 2013, 736-745

Table 3. Summary findings of the intervention trial to assess the cost-effectiveness of neonatal care packages, Bangladesh, 2005

Type of care No. of live births No. of neonatal deaths Summary of effectiveness (per 1000 neonates)
Summary of costs (US$ per 1000 neonates)
Neonatal deaths YLL YLDa DALYs Programme Programme + provider Programme + provider + user (95% CI)
Study arm
Home care (HC) 4 979 155 31.2 881 194 1 075 34 975 35 594 39 418 (38 234–40 998)
Community care (CC) 5 303 231 43.5 1 228 NA NA 10 920 11 661 14 012 (13 446–14 884)
Control (C) 4 957 213 43.1 1 217 195 1412 0 635 4 060 (2 625–6 347)
Difference
HC minus CC −324 −75 −12.3 −347 NA NA 24 055 23 933 25 406 (23 883–27 028)
HC minus C 22 −58 −11.9 −336 −2 −338 34 975 34 958 35 358 (32 869–37 565)

CI, confidence interval; DALY, disability-adjusted life year; NA, not applicable; US$, United States dollars; YLD, years lived with disability; YLL, years of life lost.

a Since primary data on disability were not collected, a mathematical model was used to estimate YLDs.