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dc.contributor.authorMori, Amani Thomasen_US
dc.contributor.authorKampata, Linda Milimoen_US
dc.contributor.authorMusonda, Patricken_US
dc.contributor.authorJohansson, Kjell Arneen_US
dc.contributor.authorRobberstad, Bjarneen_US
dc.contributor.authorSandøy, Ingvild Fossgarden_US
dc.date.accessioned2018-08-22T13:35:12Z
dc.date.available2018-08-22T13:35:12Z
dc.date.issued2017-12-19
dc.PublishedMori AT, Kampata LM, Musonda P, Johansson KA, Robberstad B, Sandøy IF. Cost-benefit and extended cost-effectiveness analysis of a comprehensive adolescent pregnancy prevention program in Zambia: study protocol for a cluster randomized controlled trial. Trials. 2017;18:604eng
dc.identifier.issn1745-6215
dc.identifier.urihttps://hdl.handle.net/1956/18197
dc.description.abstractBackground: Early marriages, pregnancies and births are the major cause of school drop-out among adolescent girls in sub-Saharan Africa. Birth complications are also one of the leading causes of death among adolescent girls. This paper outlines a protocol for a cost-benefit analysis (CBA) and an extended cost-effectiveness analysis (ECEA) of a comprehensive adolescent pregnancy prevention program in Zambia. It aims to estimate the expected costs, monetary and non-monetary benefits associated with health-related and non-health outcomes, as well as their distribution across populations with different standards of living. Methods: The study will be conducted alongside a cluster-randomized controlled trial, which is testing the hypothesis that economic support with or without community dialogue is an effective strategy for reducing adolescent childbearing rates. The CBA will estimate net benefits by comparing total costs with monetary benefits of health-related and non-health outcomes for each intervention package. The ECEA will estimate the costs of the intervention packages per unit health and non-health gain stratified by the standards of living. Cost data include program implementation costs, healthcare costs (i.e. costs associated with adolescent pregnancy and birth complications such as low birth weight, pre-term birth, eclampsia, medical abortion procedures and post-abortion complications) and costs of education and participation in community and youth club meetings. Monetary benefits are returns to education and averted healthcare costs. For the ECEA, health gains include reduced rate of adolescent childbirths and non-health gains include averted out-of-pocket expenditure and financial risk protection. The economic evaluations will be conducted from program and societal perspectives. Discussion: While the planned intervention is both comprehensive and expensive, it has the potential to produce substantial short-term and long-term health and non-health benefits. These benefits should be considered seriously when evaluating whether such a program can justify the required investments in a setting with scarce resources. The economic evaluations outlined in this paper will generate valuable information that can be used to guide large-scale implementation of programs to address the problem of the high prevalence of adolescent childbirth and school drop-outs in similar settings.en_US
dc.language.isoengeng
dc.publisherBioMed Centraleng
dc.rightsAttribution CC BYeng
dc.rights.urihttp://creativecommons.org/licenses/by/4.0eng
dc.subjectAdolescent pregnancyeng
dc.subjectEarly marriageeng
dc.subjectSchool drop-outeng
dc.subjectCost-benefit analysiseng
dc.subjectExtended cost-effectiveness analysiseng
dc.subjectCash transfereng
dc.subjectCatastrophic health expenditureeng
dc.subjectCluster randomized controlled trialeng
dc.titleCost-benefit and extended cost-effectiveness analysis of a comprehensive adolescent pregnancy prevention program in Zambia: study protocol for a cluster randomized controlled trialen_US
dc.typePeer reviewed
dc.typeJournal article
dc.date.updated2018-03-07T14:54:08Z
dc.description.versionpublishedVersionen_US
dc.rights.holderCopyright 2017 The Author(s)
dc.identifier.doihttps://doi.org/10.1186/s13063-017-2350-4
dc.identifier.cristin1536929
dc.source.journalTrials
dc.relation.projectNorges forskningsråd: 223269


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