A Mobile Phone-Based Support Intervention to Increase Use of Postabortion Family Planning in Cambodia: Cost-Effectiveness Evaluation.

JMIR MHealth and UHealth
Jeremy HillChris Smith

Abstract

Despite progress over the last decade, there is a continuing unmet need for contraception in Cambodia. Interventions delivered by mobile phone could help increase uptake and continuation of contraception, particularly among hard-to-reach populations, by providing interactive personalized support inexpensively wherever the person is located and whenever needed. The objective of this study was to evaluate the cost-effectiveness of mobile phone-based support added to standard postabortion family planning care in Cambodia, according to the results of the MOTIF (MObile Technology for Improved Family planning) trial. A model was created to estimate the costs and effects of the intervention versus standard care. We adopted a societal perspective when estimating costs, including direct and indirect costs for users. The incremental cost-effectiveness ratio was calculated for the base case, as well as a deterministic and probabilistic sensitivity analysis, which we compared against a range of likely cost-effectiveness thresholds. The incremental cost of mobile phone-based support was estimated to be an additional US $8160.49 per 1000 clients, leading to an estimated 518 couple-years of protection (CYPs) gained per 1000 clients and 99 dis...Continue Reading

Associated Clinical Trials

References

Jul 25, 2003·Contraception·Chiun Fang ChiouJeff Borenstein
Mar 1, 2008·Journal of Midwifery & Women's Health·Rukmini PotdarLam Phirun
May 21, 2008·Value in Health : the Journal of the International Society for Pharmacoeconomics and Outcomes Research·Garry R BartonElisabeth A L Fenwick
Jul 28, 2009·Contraception·Gretchen S Stuart, David A Grimes
Apr 7, 2011·Studies in Family Planning·Mohamed M Ali, John Cleland
Dec 7, 2011·Obstetrics and Gynecology·Paula M CastañoCarolyn Westhoff
Jul 13, 2012·Lancet·John ClelandAmy Tsui
Sep 11, 2012·The European Journal of Health Economics : HEPAC : Health Economics in Prevention and Care·Carla GuerrieroCaroline Free
Sep 25, 2012·Value in Health : the Journal of the International Society for Pharmacoeconomics and Outcomes Research·J Jaime CaroUNKNOWN ISPOR-SMDM Modeling Good Research Practices Task Force
Dec 19, 2012·Lancet·Richard Horton
Sep 11, 2014·Studies in Family Planning·Gilda SedghRubina Hussain
Dec 30, 2014·The Journal of Family Planning and Reproductive Health Care·Nathaniel HenryFinn Egil Skjeldestad
Feb 5, 2015·Global Public Health·Tamara Fetters, Ghazaleh Samandari
Jun 27, 2015·The Cochrane Database of Systematic Reviews·Chris SmithCaroline Free
Dec 17, 2015·Bulletin of the World Health Organization·Chris SmithCaroline Free
Nov 20, 2016·Studies in Family Planning·Catherine KorachaisBruno Meessen
Dec 19, 2016·Value in Health : the Journal of the International Society for Pharmacoeconomics and Outcomes Research·Beth WoodsKarl Claxton

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Methods Mentioned

BETA
contraception

Software Mentioned

Impact2
Marie Stopes Impact2
MObile Technology for
MObile
MOTIF
Excel

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