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Cost-effectiveness of peer counselling for the promotion of exclusive breastfeeding in Uganda

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dc.date.accessioned 2015-12-02 en
dc.date.accessioned 2021-02-09T15:22:50Z
dc.date.available 2021-02-09T15:22:50Z
dc.date.issued 2015-12-02 en
dc.identifier.uri http://hdl.handle.net/20.500.11910/1717
dc.description.abstract Community based breastfeeding promotion programmes have been shown to be effective in increasing breastfeeding prevalence. However, there is limited data on the cost-effectiveness of these programmes in sub-Saharan Africa. This paper evaluates the cost-effectiveness of a breastfeeding promotion intervention targeting mothers and their 0 to 6 month old children. Data were obtained from a community randomized trial conducted in Uganda between 2006-2008, and supplemented with evidence from several studies in sub-Saharan Africa. In the trial, peer counselling was offered to women in intervention clusters. In the control and intervention clusters, women could access standard health facility breastfeeding promotion services (HFP). Thus, two methods of breastfeeding promotion were compared: community based peer counselling (in addition to HFP) and standard HFP alone. A Markov model was used to calculate incremental cost-effectiveness ratios between the two strategies. The model estimated changes in breastfeeding prevalence and disability adjusted life years. Costs were estimated from a provider perspective. Uncertainty around the results was characterized using one-way sensitivity analyses and a probabilistic sensitivity analysis. Peer counselling more than doubled the breastfeeding prevalence as reported by mothers, but there was no observable impact on diarrhoea prevalence. Estimated incremental cost-effectiveness ratios were US$68 per month of exclusive or predominant breastfeeding and U$11,353 per disability adjusted life year (DALY) averted. The findings were robust to parameter variations in the sensitivity analyses. en
dc.format.medium Print en
dc.publisher Public Library Science en
dc.title Cost-effectiveness of peer counselling for the promotion of exclusive breastfeeding in Uganda en
dc.type Journal Article en
dc.description.version Y en
dc.ProjectNumber N/A en
dc.Volume 10 en
dc.BudgetYear 2015/16 en
dc.ResearchGroup Population Health, Health Systems and Innovation en
dc.SourceTitle PLoS One en
dc.PlaceOfPublication San Francisco, USA en
dc.ArchiveNumber 8904 en
dc.URL http://ktree.hsrc.ac.za/doc_read_all.php?docid=15853 en
dc.PageNumber Online en
dc.outputnumber 7678 en
dc.bibliographictitle Chola, L., Fadnes, L.T., Engebretsen, I.M.S., Nkonki, L., Nankabirwa, V., Sommerfelt, H., Tumwine, J.K., Tylleskar, T., Robberstad, B. & PROMISE-EBF Study Group, (2015) Cost-effectiveness of peer counselling for the promotion of exclusive breastfeeding in Uganda. <i>PLoS One</i>. November:Online. http://hdl.handle.net/20.500.11910/1717 en
dc.publicationyear 2015 en
dc.contributor.author1 Chola, L. en
dc.contributor.author2 Fadnes, L.T. en
dc.contributor.author3 Engebretsen, I.M.S. en
dc.contributor.author4 Nkonki, L. en
dc.contributor.author5 Nankabirwa, V. en
dc.contributor.author6 Sommerfelt, H. en
dc.contributor.author7 Tumwine, J.K. en
dc.contributor.author8 Tylleskar, T. en
dc.contributor.author9 Robberstad, B. en
dc.contributor.author10 PROMISE-EBF Study Group, en


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