Table 2 Results of impact and cost of investment case analysis in Philippines
From: Investment case for improving maternal and child health: results from four countries
Key causes of death | Impact (% Reduction over 5 years) | Cost ($US) | |||||
|---|---|---|---|---|---|---|---|
Maternal | Under-5 | Maternal mortality ratio | Neonatal mortality rate | Under-5 mortality rate | Annual marginal recurrent cost (per capita) | First year capital cost (per capita) | |
Pasay City | Post-partum Haemorrhage (34%), Ante-partum Haemorrhage (33%), Hypertension (33%)* | Neonatal Sepsis (20%), Preterm birth (15%), Congenital Abnormalities (15%), Pneumonia (11%) § | 13% (11%-15%) | 5% (4%-6%) | 5% (4%-7%) | $0.73 ($0.61-0.92) | $0.05 |
Key Strategies: Improved regulation and engagement with private sector, review of health facility reimbursement practices, training of clinical staff in family planning, IMCI, nutrition and monitoring and evaluation procedures, training in emergency neonatal care for private providers, revitalisation of community health teams to actively provide routine health services and health promotion, and improved commodity supply | |||||||
13% (12%-16%) | 5% (4%-6%) | 5% (4%-7%) | $1.29 ($1.19-1.49) | $0.74 | |||
Facility Construction Scenario Strategies: As above, with additional construction of 2 public Lying-In clinics | |||||||
Northern Samar | Post-partum Haemorrhage (64%), Hypertension (18%), Ante-partum Haemorrhage (9%), Sepsis/Infection (9%) † | Pneumonia (19%), Diarrhoea (10%), Neonatal Sepsis (10%), Preterm birth (8%), Congenital Abnormalities (8%) § | 39% (32%-46%) | 25% (20%-29%) | 17% (14%-19%) | $2.20 ($2.01-2.40) | $2.72 |
Key Strategies: Training of clinical staff in IMCI, nutrition and essential maternal and newborn care, establishment of community health teams to actively provide routine health services and health promotion, establishment of insurance membership services, campaign for facility based delivery including monitoring of compliance with applicable regulations, upgrading of hospital and primary health care facilities, recruitment of additional midwives and improved commodity supply processes | |||||||
Eastern Samar | Hypertension (33%), Sepsis/Infection (28%), Post-partum Haemorrhage (22%), Ante-partum Haemorrhage (17%) ‡ | Neonatal Sepsis (16%), Pneumonia (14%), Congenital Abnormalities (13%), Preterm birth (12%), Diarrhoea (7%) § | 45% (40%-50%) | 26% (23%-28%) | 20% (18%-22%) | $5.15 ($4.70-5.44) | $7.12 |
Key Strategies: Training of clinical staff in essential maternal and newborn care, establishment of community health teams to actively provide routine health services and health promotion, establishment of insurance membership services, campaign for facility based delivery including monitoring of compliance with applicable regulations, upgrading of hospital and upgrading and construction of primary health care facilities, recruitment of additional midwives and improved commodity supply processes | |||||||