Review
Obstetrics & Gynecology
Elizabeth Martin, Bassel Ayoub, Yvette D. Miller
Summary: This systematic review aimed to identify the extent of cost-effectiveness evidence available for evaluating alternative Maternity Models of Care (MMC) and provide a narrative summary. The findings suggest weak evidence that midwife and doula models of care may be a cost-effective or cost-saving alternative to standard care. However, the poor quality of evidence, lack of standardized MMC classifications, and limited research in this area hinder conclusive evaluation.
BMC PREGNANCY AND CHILDBIRTH
(2023)
Article
Public, Environmental & Occupational Health
Yacob Abraham Borie, Melese Siyoum, Aklile Tsega, Gemechu Anbese
Summary: This study aimed to assess the prevalence of maternal depression among antenatal care attendants at Wolayta Sodo Teaching and Referral Hospital, Southern Ethiopia. The findings showed that maternal depression was associated with women's level of education, husband support, and substance usage during pregnancy.
FRONTIERS IN PUBLIC HEALTH
(2022)
Article
Public, Environmental & Occupational Health
A. Sepehri, K. N. Minh, P. H. Vu
Summary: The study aimed to assess temporal trends in out-of-pocket expenditures per outpatient contact by insured residents in rural Vietnam. The results showed an upward trend in the amount of out-of-pocket expenditures, particularly for visits involving higher level government hospitals and private hospitals. Efforts should be directed at reforming Vietnam's hospital-centric and fragmented delivery system to contain costs and ensure financial sustainability of the social health insurance system.
Article
Ecology
J. -M. Blazy, J. Subervie, J. Paul, F. Causeret, L. Guinde, S. Moulla, A. Thomas, J. Sierra
Summary: Soil organic carbon stocks have been declining, especially in the tropics, leading to the importance of maintaining soil organic matter. This study examines the cost-effectiveness of incentivizing farmers to improve soil carbon through the use of compost, finding that providing free technical assistance and collective bonuses significantly increase participation rates. Additionally, the most effective AEM proposed could sequester up to 25,000 teqCO2 per year at a cost of about 500 euros per teqCO2, contributing to reaching the 4 per 1000 target.
ECOLOGICAL ECONOMICS
(2021)
Article
Chemistry, Multidisciplinary
Ayman A. Banjar, Hani M. Nassar
Summary: This study conducted a cost-effectiveness analysis of different brands of universal dental adhesives used for composite restorations. The results showed that TN adhesive was the most efficient and cost-effective.
APPLIED SCIENCES-BASEL
(2022)
Article
Economics
Robert John Kolesar, Sambo Pheakdey, Bart Jacobs, Sokchegn Phay
Summary: Cambodia aims to expand social health protection towards Universal Health Coverage. A modeling tool was developed to estimate the cost and coverage of three policy alternatives, recommending expansion to the 1st-3rd wealth quintiles. The model quantifies potential impacts of policy changes and suggests strategies to leverage demand-side financing.
JOURNAL OF POLICY MODELING
(2021)
Article
Genetics & Heredity
Andrea Busnelli, Oriana Ciani, Silvia Caroselli, Matteo Figliuzzi, Maurizio Poli, Paolo Emanuele Levi-Setti, Rosanna Tarricone, Antonio Capalbo
Summary: This study aimed to evaluate the cost-effectiveness of expanded carrier screening (ECS) compared with no screening in Italy. The results showed that all three ECS panels would be more cost-effective than no screening from the perspective of the Italian universal health care system.
GENETICS IN MEDICINE
(2023)
Article
Medicine, General & Internal
Felicia Marie Knaul, Hector Arreola-Ornelas, Michael Touchton, Tim Mcdonald, Merike Blofield, Leticia Avila Burgos, Octavio Gomez-Dantes, Pablo Kuri, Adolfo Martinez-Valle, Oscar Mendez-Carniado, Renu Sara Nargund, Thalia Porteny, Sandra Gabriela Sosa-Rubi, Edson Servan-Mori, Maya Symes, Valentina Vargas Enciso, Julio Frenk
Summary: 2023 marks the 20th anniversary of Mexico's System of Social Protection for Health and Seguro Popular, which serve as a model for achieving universal health coverage. Despite budget constraints and lack of reforms, the aging Seguro Popular has improved population health and financial protection. However, the closure of Seguro Popular and the simultaneous establishment of a new program in 2020-21 made Mexico's health system vulnerable during the COVID-19 pandemic, highlighting the challenges of evidence-based policymaking in the face of political polarization and populism. Reforms should be flexible, insulated from political volatility, and adaptable to changing health needs.
Article
Health Care Sciences & Services
Diksha Singh, Shankar Prinja, Pankaj Bahuguna, Akashdeep Singh Chauhan, Lorna Guinness, Sameer Sharma, P. V. M. Lakshmi
Summary: The study assessed the cost of transforming current primary healthcare facilities in India to health and wellness centers, revealing the need for an additional allocation of $10178 million from 2019 to 2023 for the scale-up. The findings suggest an increase in the Government of India's health budget from 2.5% in 2019 to 12.1% in 2023. It is recommended to pay providers between $4.70 and $3.57 per person covered for provision of comprehensive primary health care services with a capitation-based payment system.
HEALTH POLICY AND PLANNING
(2021)
Article
Health Care Sciences & Services
Vilawan Luankongsomchit, Chulathip Boonma, Budsadee Soboon, Papada Ranron, Wanrudee Isaranuwatchai, Nopphadol Pimsarn, Piyawan Limpanyalert, Ake-Chitra Sukkul, Netnapa Panmon, Yot Teerawattananon
Summary: This study estimates the national prevalence and economic impact of medical harm in Thailand using routine administrative data. The findings reveal that there are approximately 400,000 visits with potentially unsafe medical care per year, costing around USD 278 million annually. This evidence can be used to raise safety awareness and support medical harm prevention policies.
Article
Medicine, General & Internal
Humaira Ansari, Rajiv Yeravdekar
Summary: Universal health coverage (UHC) cannot be complete without achieving respectful maternity care (RMC). The Indian government has initiated the Ayushman Bharat Scheme for UHC, recognizing the importance of RMC. Failure to achieve RMC will hinder the true achievement of UHC.
NATIONAL MEDICAL JOURNAL OF INDIA
(2021)
Article
Obstetrics & Gynecology
Jacqueline A. Nicholls, Anna L. David, Joseph Iskaros, Dimitrios Siassakos, Anne Lanceley
Summary: This study found that ante-natal consultations for interventions focus heavily on clinical framing and risk, while exploring the woman-centered narrative less effectively. Healthcare professionals need to pay more attention to the preferences and values of pregnant women during consent consultations to meet the requirements of UK law.
BMC PREGNANCY AND CHILDBIRTH
(2021)
Article
Public, Environmental & Occupational Health
Andres Pichon-Riviere, Michael Drummond, Alfredo Palacios, Sebastian Garcia-Marti, Federico Augustovski
Summary: This study aimed to develop a method to estimate cost-effectiveness thresholds based on health expenditures per capita and life expectancy at birth, and derive these thresholds for 174 countries. The results showed lower thresholds compared to those currently in use in many countries, providing a useful reference for countries using economic evaluations in resource-allocation decisions.
LANCET GLOBAL HEALTH
(2023)
Article
Obstetrics & Gynecology
Rachel C. Egan, Sarina R. Chaiken, Kelli Derrah, Uma Doshi, Alyssa Hersh, Claire H. Packer, Aaron B. Caughey
Summary: This study evaluates the cost effectiveness of Tdap vaccination in pregnant patients in the United States, showing that it reduces infant morbidity and mortality compared with no vaccination during pregnancy. The findings suggest that Tdap vaccination is cost effective and highlight the importance of public health strategies to encourage greater uptake of the vaccine.
OBSTETRICS AND GYNECOLOGY
(2023)
Review
Health Care Sciences & Services
Thanos Myloneros, Dikaios Sakellariou
Summary: The Primary Health Care reforms in Greece have not significantly improved Universal Health Coverage, despite some positive steps taken with the establishment of community-based multidisciplinary health teams. An evidence-based monitoring and evaluation mechanism is necessary before further interventions are implemented.
BMC HEALTH SERVICES RESEARCH
(2021)
Article
Public, Environmental & Occupational Health
Monica A. Magadi
JOURNAL OF PUBLIC HEALTH
(2017)
Article
Obstetrics & Gynecology
Franklin I. Onukwugha, Monica A. Magadi, Ahmed M. Sarki, Lesley Smith
BMC PREGNANCY AND CHILDBIRTH
(2020)
Article
Demography
Monica Magadi, Dan Kaseje, Charles Wafula, Margaret Kaseje, Pennina Ochola-Odhiambo, Salmon Ogutu-Owii, Bev Orton, Franklin Onukwugha, Mark Hayter, Lesley Smith
Summary: The study found important gender differences in adolescent sexual and reproductive health (ASRH) knowledge and behavior, with education emerging as a key predictor of ASRH behavior. Educational level plays a significant role in promoting positive sexual and reproductive health behaviors.
JOURNAL OF BIOSOCIAL SCIENCE
(2022)
Review
Multidisciplinary Sciences
Franklin I. Onukwugha, Lesley Smith, Dan Kaseje, Charles Wafula, Margaret Kaseje, Bev Orton, Mark Hayter, Monica Magadi
Summary: This systematic review explores the effectiveness, acceptability, and cost of mHealth interventions in improving adolescent uptake of Sexual and Reproductive Health (SRH) services in Sub-Saharan Africa (SSA). The results show that these interventions can effectively improve adolescent's uptake of SRH services, especially in contraception. Interventions with interactive functions and more behavior change techniques embedded in them are more effective. However, the cost-effectiveness of these interventions needs further evaluation.
Article
Multidisciplinary Sciences
Peninah Agaba, Monica Magadi, Bev Orton
Summary: This study examines the predictors of use of health facilities at childbirth among unmarried and married youth aged 15-24 years in Uganda. The results show that unmarried youth are more likely to use health facilities, especially those with higher education and frequent antenatal care. Youth with higher parity, rural residence, and employment in the agriculture sector have lower odds of using health facilities. Among married youth, those with higher wealth index and frequent access to mass media are more likely to use health facilities. The study suggests promoting frequent antenatal care and improving education and economic status to enhance the use of health facilities among youth in Uganda.
Article
Social Sciences, Interdisciplinary
Peninah Agaba, Monica Magadi, Franklin Onukwugha, Cyprian Misinde
Summary: The study found that married youth were more likely to have more frequent antenatal care visits and start antenatal care early compared to unmarried youth. In unmarried youth, education and occupation were the most important predictors, while in married youth, place of residence and access to the radio were key factors.
SOCIAL SCIENCES-BASEL
(2021)
Article
Social Sciences, Interdisciplinary
Jesman Chintsanya, Monica Magadi, Gloria Likupe
Summary: Although teenage pregnancy has increased in countries like Malawi, overall teenage childbearing rates declined from 2004 to 2015. Factors such as age, marriage, sexual debut, education, wealth, and religious affiliation were found to be associated with the risk or protection against teenage childbearing. Early marriage and sexual debut remained significant risk factors, while socioeconomic factors played a role in influencing adolescent fertility in specific subgroups in Malawi. However, sustained declines in teenage childbearing were not evident at the district level.
SOCIAL SCIENCES-BASEL
(2021)
Article
Demography
Monica A. Magadi
Summary: Research in Sub-Saharan Africa shows that pregnancies among HIV-positive women are more likely to be unwanted than mistimed, while the unintended fertility of HIV-negative women is influenced by their HIV status and the country's HIV prevalence.
POPULATION RESEARCH AND POLICY REVIEW
(2021)
Article
Education & Educational Research
Gloria Likupe, Jesman Chintsanya, Monica Magadi, Alister Munthali, Medison Makwemba
Summary: A qualitative study in southern districts of Malawi revealed that teachers face various barriers in delivering sexual and reproductive health education in primary schools, including overemphasis on abstinence, lack of conducive learning environment, and inadequate support from parents. There is a need for policymakers and curriculum developers/implementers to create an approach that involves all stakeholders and provides comprehensive sexuality education for young people.
SEX EDUCATION-SEXUALITY SOCIETY AND LEARNING
(2021)
Article
Family Studies
Monica Magadi, Martin Gazimbi, Charles Wafula, Margaret Kaseje
Summary: The study reveals significant ethnic differences in HIV prevalence in Kenya. It shows that the prevalence of polygyny in a community is positively associated with HIV prevalence, while higher levels of male circumcision in a county are protective for both men and women. Although some cultural practices and associated risk factors partly explain existing ethnic differences in HIV prevalence, there are still significant ethnic variations that remain unexplained.
CULTURE HEALTH & SEXUALITY
(2021)
Review
Public, Environmental & Occupational Health
Martin M. Gazimbi, Monica A. Magadi, Washington Onyango-Ouma, Elizabeth Walker, Rosemary B. Cresswell, Margaret Kaseje, Charles O. Wafula
AFRICAN JOURNAL OF REPRODUCTIVE HEALTH
(2020)
Review
Public, Environmental & Occupational Health
Franklin I. Onukwugha, Mark Hayter, Monica A. Magadi
AFRICAN JOURNAL OF REPRODUCTIVE HEALTH
(2019)
Article
Demography
Martin Marufu Gazimbi, Monica Akinyi Magadi
JOURNAL OF BIOSOCIAL SCIENCE
(2019)
Article
Infectious Diseases
Patrick Igulot, Monica A. Magadi
AIDS RESEARCH AND TREATMENT
(2018)