O734 Impact 2: An Innovative Tool Measuring the Impact of Family Planning Programmes

Weinberger, M.; Pozo-Martin, F.; Fry, K.L.; Boler, Tania; Hopkins, K.

doi:10.1016/s0020-7292(12)61164-3

Cited by 6 publications

(7 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The Impact 2 model and related documentation are available for download from the Marie Stopes International website 9. Briefly, the Impact 2 model is a publicly available tool for estimating the impact of reproductive health programs.…”

Section: Methodsmentioning

confidence: 99%

“…The Impact 2 model and related documentation are available for download from the Marie Stopes International website. 9 Briefly, the Impact 2 model is a publicly available tool for estimating the impact of reproductive health programs. It is pre-populated with data for all developing countries, and it can be used to estimate the health and economic impact of family planning products.…”

Section: Methodsmentioning

confidence: 99%

See 1 more Smart Citation

Estimating the hypothetical dual health impact and cost-effectiveness of the Woman’s Condom in selected sub-Saharan African countries

Mvundura

Nundy

Kilbourne-Brook

et al. 2015

IJWH

View full text Add to dashboard Cite

BackgroundFemale condoms are the only currently available woman-initiated option that offers dual protection from pregnancy and sexually transmitted infections, including HIV. The Woman’s Condom is a new female condom designed to provide dual protection and to be highly pleasurable and acceptable.ObjectiveWe sought to estimate the potential dual health impact and cost-effectiveness of a Woman’s Condom distribution program in 13 sub-Saharan African countries with HIV prevalence rates >4% among adults aged 15–49 years. We used two separate, publicly available models for this analysis, the Impact 2 model developed by Marie Stopes International and the Population Services International disability-adjusted life years (DALY) calculator program. We estimated the potential numbers of pregnancies and DALYs averted when the Woman’s Condom is used as a family planning method and the HIV infections and DALYs averted when it is used as an HIV prevention method.ResultsProgramming 100,000 Woman’s Condoms in each of 13 countries in sub-Saharan Africa during a 1-year period could potentially prevent 194 pregnancies and an average of 21 HIV infections in each country. When using the World Health Organization CHOosing Interventions that are Cost-Effective (WHO-CHOICE) criteria as a threshold to infer the potential cost-effectiveness of the Woman’s Condom, we found that the Woman’s Condom would be considered cost-effective.ConclusionThis was a first and successful attempt to estimate the impact of dual protection of female condoms. The health impact is greater for the use of the Woman’s Condom as an HIV prevention method than for contraception. Dual use of the Woman’s Condom increases the overall health impact. The Woman’s Condom was found to be very cost-effective in all 13 countries in our sample.

show abstract

Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Estimating the hypothetical dual health impact and cost-effectiveness of the Woman’s Condom in selected sub-Saharan African countries

Mvundura

Nundy

Kilbourne-Brook

et al. 2015

IJWH

View full text Add to dashboard Cite

show abstract

“…Cost-effectiveness was reported within the time frame of program operation and was also modeled using the existing Impact 2 tool ( Figure 1 ). 46 , 47 In brief, the Impact 2 tool uses national- and regional-level data on typical pregnancy rates and rates of maternal deaths, unsafe abortions, child deaths, and similar outcomes to estimate the impact on key health outcomes of contraceptive services delivered, based on the number of pregnancies and pregnancy-related deaths or illnesses that are averted because a woman is using contraception ( Figure 1 ). The Impact 2 tool also estimates the direct cost savings to the health care system as a result of these health outcomes being averted, based on cost of antenatal care, delivery, postabortion care, and treatment of complications that are averted.…”

Section: Methodsmentioning

confidence: 99%

Economic Evaluation of Provision of Postpartum Intrauterine Device Services in Bangladesh and Tanzania

Eva

Gold

Makins

et al. 2021

Glob Health Sci Pract

View full text Add to dashboard Cite

show abstract

“…Since the study is not powered to measure the impact on mortality, it is necessary to model from the multiple study outcomes to the final health outcomes of deaths and disability adjusted life years (DALY) averted. This is based on a decision-tree model to be developed in light of a review of existing modelling tools such as the Lives Saved Tool (LiST) and Impact 2 [ 44 , 45 ]. Cost-effectiveness ratios are presented as the cost per death averted and cost per DALY, comparing the situation with and without the social franchising programme.…”

Section: Methodsmentioning

confidence: 99%

Protocol for the evaluation of a social franchising model to improve maternal health in Uttar Pradesh, India

et al. 2015

View full text Add to dashboard Cite

BackgroundSocial franchising is the fastest growing market-based approach to organising and improving the quality of care in the private sector of low- and middle-income countries, but there is limited evidence on its impact and cost-effectiveness. The “Sky” social franchise model was introduced in the Indian state of Uttar Pradesh in late 2013.Methods/designDifference-in-difference methods will be used to estimate the impact of the social franchise programme on the quality and coverage of health services along the continuum of care for reproductive, maternal and newborn health. Comparison clusters will be selected to be as similar as possible to intervention clusters using nearest neighbour matching methods. Two rounds of data will be collected from a household survey of 3600 women with a birth in the last 2 years and a survey of 450 health providers in the same localities. To capture the full range of effects, 59 study outcomes have been specified and then grouped into conceptually similar domains. Methods to account for multiple inferences will be used based on the pre-specified grouping of outcomes. A process evaluation will seek to understand the scale of the social franchise network, the extent to which various components of the programme are implemented and how impacts are achieved. An economic evaluation will measure the costs of setting up, maintaining and running the social franchise as well as the cost-effectiveness and financial sustainability of the programme.DiscussionThere is a dearth of evidence demonstrating whether market-based approaches such as social franchising can improve care in the private sector. This evaluation will provide rigorous evidence on whether an innovative model of social franchising can contribute to better population health in a low-income setting.Electronic supplementary materialThe online version of this article (doi:10.1186/s13012-015-0269-2) contains supplementary material, which is available to authorized users.

show abstract

O734 Impact 2: An Innovative Tool Measuring the Impact of Family Planning Programmes

Cited by 6 publications

References 0 publications

Estimating the hypothetical dual health impact and cost-effectiveness of the Woman’s Condom in selected sub-Saharan African countries

Estimating the hypothetical dual health impact and cost-effectiveness of the Woman’s Condom in selected sub-Saharan African countries

Economic Evaluation of Provision of Postpartum Intrauterine Device Services in Bangladesh and Tanzania

Protocol for the evaluation of a social franchising model to improve maternal health in Uttar Pradesh, India

Contact Info

Product

Resources

About

O734 Impact 2: An Innovative Tool Measuring the Impact of Family Planning Programmes

Cited by 6 publications

References 0 publications

Estimating the hypothetical dual health impact and&nbsp;cost-effectiveness of the Woman&rsquo;s Condom in&nbsp;selected sub-Saharan African countries

Estimating the hypothetical dual health impact and&nbsp;cost-effectiveness of the Woman&rsquo;s Condom in&nbsp;selected sub-Saharan African countries

Economic Evaluation of Provision of Postpartum Intrauterine Device Services in Bangladesh and Tanzania

Protocol for the evaluation of a social franchising model to improve maternal health in Uttar Pradesh, India

Contact Info

Product

Resources

About

Estimating the hypothetical dual health impact and cost-effectiveness of the Woman’s Condom in selected sub-Saharan African countries

Estimating the hypothetical dual health impact and cost-effectiveness of the Woman’s Condom in selected sub-Saharan African countries