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Table 5 Changes in maternal deaths and incremental costs that could accompany increased coverage of select maternal interventions

From: Assessing health and economic outcomes of interventions to reduce pregnancy-related mortality in Nigeria

 

2011

2012

2013

2014

2015

2016

2017

2018

2019

2020

2021

2022

Total

APPROACH 1

             

Interventions

             

Reduction in unmet need for contraception

25%

50%

75%

100%

100%

100%

100%

100%

100%

100%

100%

100%

 

·Increase in coverage of safe abortion

30%

50%

80%

100%

100%

100%

100%

100%

100%

100%

100%

100%

 

·Facility upgrade package

-

-

-

-

1

1

2

2

3

3

4

4

 

Incremental cost (millions)

$3.88

$7.91

$12.16

$16.65

$55.27

$56.73

$100.40

$103.00

$151.47

$155.30

$205.89

$210.90

$1,079.55

Maternal deaths averted

2,795

4,912

7,374

9,691

16,969

17,394

25,125

25,736

34,777

35,594

46,639

47,690

274,695

 

2011

2012

2013

2014

2015

2016

2017

2018

2019

2020

2021

2022

Total

APPROACH 2

             

Interventions

             

Reduction in unmet need for contraception

-

-

-

-

-

-

-

-

25%

50%

75%

100%

 

·Increase in coverage of safe abortion

-

-

-

-

-

-

-

-

30%

50%

80%

100%

 

·Facility upgrade package

1

1

2

2

3

3

4

4

4

4

4

4

 

Incremental cost (millions)

$41.18

$42.28

$89.08

$91.44

$143.63

$147.40

$202.16

$207.39

$205.77

$207.76

$209.61

$211.30

$1,798.99

Maternal deaths averted

7,103

7,284

14,866

15,242

24,183

24,781

35,815

36,686

39,766

42,242

45,124

47,672

340,765

 

2011

2012

2013

2014

2015

2016

2017

2018

2019

2020

2021

2022

Total

APPROACH 3

             

Interventions

             

·Reduction in unmet need for contraception

25%

25%

50%

50%

75%

75%

100%

100%

100%

100%

100%

100%

 

· Increase in coverage of safe abortion

30%

30%

50%

50%

80%

80%

100%

100%

100%

100%

100%

100%

 

·Facility upgrade package

1

1

2

2

3

3

4

4

4

4

4

4

 

Incremental cost (millions)

$42.87

$44.02

$89.20

$91.57

$138.23

$141.86

$186.97

$191.81

$196.73

$201.69

$206.67

$211.66

$1,743.26

Maternal deaths averted

9,664

9,915

19,053

19,540

29,980

30,729

42,414

43,453

44,501

45,552

46,604

47,655

389,060

  1. Select maternal interventions include increased use of modern contraceptives (through reducing unmet need), and safe abortion services, as well as improving intrapartum care (see text). These interventions are applied in three different ways or “Approaches” to stacked cohorts of women aged 15–45 years over a 12 year period (from 2011 to 2022). In Approach 1, utilization of modern contraceptives and safe abortion services were gradually maximized prior to improving intrapartum care; in Approach 2, improvement in intrapartum care was progressively increased to a maximum before the use of modern contraceptives and safe abortion services were increased; in Approach 3, all three interventions were gradually maximized concurrently.