ABCDE
1
Summary - based on different scenariosPilot (projected)Pilot (actual)Notes
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Summary - Endline Impact, Program Reach & CostsWhat we imagined the cost-effectiveness would beCost-effectiveness in reality
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Endline Impact
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$ per DALY saved$105$3,998
5
$ per life saved$10,655$404,766
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Cost per woman provided counselling$2.02$3.04
7
Cost per new contraceptive user$20.21$101.32
8
Cost per unintended birth averted$177.79$6,754.08
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Total DALYs saved228.726.79
10
11
Reach
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Number of hospitals covered66
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Number of providers trained4848
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Discount for decay in counselling consistency based on implemenation quality20.00%40.00%
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Clients reached (annually)119148935
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Anticipated shift in contraceptive uptake10.00%3.00%
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Discount based on revised estimate of pregnancy risk due to abstinence rates and breastfeeding efficacy0.00%80.00%
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Discount due to method discontinuation0.00%34.00%
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Number of new contraceptive users (annually)1191268
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Costs
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MHI Staff - total$12,750.00$12,750.00
32
33
Travel$3,500.00$3,500.00Rough estimates
34
35
Surveying - total cost$2,765.99$2,765.99
38
39
Monitoring/Incentives - total cost$1,029.32$4,117.26
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Incentives - per provider cost$21.44$85.78
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42
Training delivery (inc. material provision) - total cost$3,261.21$3,261.21
44
45
Misc. other costs$0.00$0.00
48
49
Total Cost$24,072$27,159
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Cost per provider trained (inc. overhead)$501.49$565.82
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Cost per client reached (inc. overhead)$2.02$3.04
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Cost per new contraceptive user (inc. overhead)$20.21$101.32
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Costs - % breakdown
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MHI Staff52.97%46.94%
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Software3.18%2.82%
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Travel14.54%12.89%
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Surveying11.49%10.18%
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Monitoring and Incentives4.28%15.16%
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Training Delivery (inc. Materials)13.55%12.01%
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Misc. other costs0.00%0.00%
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100.00%100.00%
63
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Program Effects - Births Delayed
65
Effect on short-spaced births
66
Percent of births that are short-spaced (target country)16%16%
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Short-spaced births delayed as a result of intervention190.625.66
68
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DALYs for Neonatal Deaths (SBI)
70
Neonatal deaths averted through shorter birth intervals0.830.02
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DALYs associated with a neonatal death61.6361.63
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DALYs averted through reductions in neonatal deaths - SBI51.071.52
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DALYs for Under-5 Deaths (SBI)
75
Under-5 deaths averted0.650.02
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DALYs associated with an under-5 death59.1359.13
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DALYs averted through reductions in under-5 deaths - SBI38.341.14
78
79
DALYs for Maternal Deaths (SBIs)
80
Maternal deaths averted - SBI0.150.00
81
DALYs lost per maternal death34.0834.08
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DALYs averted from reductions in maternal deaths - SBI5.120.15
83
84
DALYs from reduced abortion likelihood (SBIs)
85
Increased risk of abortion with short-spaced pregnancies4.064.06
86
% of pregnancies that do not result in a birth in Ghana38%38%
87
Number of pregnancies we delay263.057.81
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Number of abortions we prevent through delayed births1244
89
DALYs lost per unsafe abortion0.220.22
90
DALYs averted from reduced abortions27.120.81
91
92
Program Effects - Births Averted
93
Number of births averted
94
Number of births averted2056
95
96
DALYs for neonatal deaths (Births Averted)
97
Neonatal deaths averted4.720.14
98
DALYs averted through reductions in neonatal deaths - births averted14.540.43
99
100
DALYs for Under-5 Deaths (Births Averted)
101
Under-5 deaths averted (excl. neonatal mortality)9.440.28
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DALYs averted through reductions in under-5 deaths - births averted27.900.83
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104
DALYs for maternal deaths (Births Averted)
105
Maternal deaths averted0.630.02
106
DALYs averted through reductions in maternal deaths - births averted21.740.65
107
108
DALYs for pregnancy conditions, excl. abortion (Births Averted)
109
Postpartum anemia1.910.06
110
Caesarean section for obstructed labor1.430.04
111
Fistula14.360.43
112
Postpartum depression10.050.30
113
Chronic hypertension0.920.03
114
DALYs averted from pregnancy conditions, excl. abortion28.680.85