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Scaling up family planning to reduce maternal and child mortality: the potential costs and benefits of modern contraceptive use in South Africa

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dc.date.accessioned 2015-07-14 en
dc.date.accessioned 2021-02-09T15:23:59Z
dc.date.available 2021-02-09T15:23:59Z
dc.date.issued 2015-08-25 en
dc.identifier.uri http://hdl.handle.net/20.500.11910/1900
dc.description.abstract Family planning contributes significantly to the prevention of maternal and child mortality. However, many women still do not use modern contraception and the numbers of unintended pregnancies, abortions and subsequent deaths are high. In this paper, we estimate the service delivery costs of scaling up modern contraception, and the potential impact on maternal, new-born and child survival in South Africa. The Family Planning model in Spectrum was used to project the impact of modern contraception on pregnancies, abortions and births in South Africa (2015-2030). The contraceptive prevalence rate (CPR) was increased annually by 0.68 percentage points. The Lives Saved Tool was used to estimate maternal and child deaths, with coverage of essential maternal and child health interventions increasing by 5% annually. A scenario analysis was done to test impacts when: the change in CPR was 0.1% annually; and intervention coverage increased linearly to 99% in 2030. If CPR increased by 0.68% annually, the number of pregnancies would reduce from 1.3 million in 2014 to one million in 2030. Unintended pregnancies, abortions and births decrease by approximately 20%. Family planning can avert approximately 7,000 new-born and child and 600 maternal deaths. The total annual costs of providing modern contraception in 2030 are estimated to be US$33 million and the cost per user of modern contraception is US$7 per year. The incremental cost per life year gained is US$40 for children and US$1,000 for mothers. en
dc.format.medium Print en
dc.publisher Public Library Science en
dc.subject FAMILY PLANNING en
dc.subject CONTRACEPTIVE USE en
dc.subject CHILD WELL-BEING en
dc.subject MORTALITY en
dc.title Scaling up family planning to reduce maternal and child mortality: the potential costs and benefits of modern contraceptive use in South Africa en
dc.type Journal Article en
dc.description.version Y en
dc.ProjectNumber N/A en
dc.Volume 10(6) 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 8712 en
dc.URL http://ktree.hsrc.ac.za/doc_read_all.php?docid=15638 en
dc.PageNumber Online en
dc.outputnumber 7442 en
dc.bibliographictitle Chola, L., McGee, S., Tugendhaft, A., Buchmann, E. & Hofman, K. (2015) Scaling up family planning to reduce maternal and child mortality: the potential costs and benefits of modern contraceptive use in South Africa. <i>PLoS One</i>. June:Online. http://hdl.handle.net/20.500.11910/1900 en
dc.publicationyear 2015 en
dc.contributor.author1 Chola, L. en
dc.contributor.author2 McGee, S. en
dc.contributor.author3 Tugendhaft, A. en
dc.contributor.author4 Buchmann, E. en
dc.contributor.author5 Hofman, K. en


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