The cost-effectiveness of sexual and reproductive health and rights interventions in low- and middle-income countries: a scoping review
Sexual and reproductive health and rights (SRHR) are an essential component of universal health coverage (UHC). In determining which SRHR interventions to include in their UHC benefits package, countries are advised to evaluate each service based on robust and reliable data, including cost-effective...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Taylor & Francis Group
2021-01-01
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| Series: | Sexual and Reproductive Health Matters |
| Subjects: | |
| Online Access: | http://dx.doi.org/10.1080/26410397.2021.1983107 |
| _version_ | 1818950347251515392 |
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| author | Andrea Hannah Kaiser Björn Ekman Madeleine Dimarco Jesper Sundewall |
| author_facet | Andrea Hannah Kaiser Björn Ekman Madeleine Dimarco Jesper Sundewall |
| author_sort | Andrea Hannah Kaiser |
| collection | DOAJ |
| description | Sexual and reproductive health and rights (SRHR) are an essential component of universal health coverage (UHC). In determining which SRHR interventions to include in their UHC benefits package, countries are advised to evaluate each service based on robust and reliable data, including cost-effectiveness data. We conducted a scoping review of full economic evaluations of the essential SRHR interventions included in the comprehensive package presented by the Guttmacher-Lancet Commission on SRHR. Of the 462 economic evaluations that met the inclusion criteria, the quantity of publications varied across regions, countries, and the components of the SRHR package, with the majority of publications reporting on HIV/AIDS, reproductive cancer, as well as antenatal care, childbirth, and postnatal care. Systematic reviews are needed for these components in support of more conclusive findings and actionable recommendations for programmes and policy. Further evaluations for interventions included in the remaining components are needed to provide a stronger evidence base for decision-making. The economic evaluations reviewed for this article were inherently varied in their applied methodologies, SRHR interventions and comparators, cost and effectiveness data, and cost-effectiveness thresholds, among others. Despite these differences, the vast majority of publications reported the evaluated SRHR interventions to be cost-effective. |
| first_indexed | 2024-12-20T09:17:08Z |
| format | Article |
| id | doaj.art-d0c0546473744e31bf03dc0261d40428 |
| institution | Directory Open Access Journal |
| issn | 2641-0397 |
| language | English |
| last_indexed | 2024-12-20T09:17:08Z |
| publishDate | 2021-01-01 |
| publisher | Taylor & Francis Group |
| record_format | Article |
| series | Sexual and Reproductive Health Matters |
| spelling | doaj.art-d0c0546473744e31bf03dc0261d404282022-12-21T19:45:24ZengTaylor & Francis GroupSexual and Reproductive Health Matters2641-03972021-01-012919010310.1080/26410397.2021.19831071983107The cost-effectiveness of sexual and reproductive health and rights interventions in low- and middle-income countries: a scoping reviewAndrea Hannah Kaiser0Björn Ekman1Madeleine Dimarco2Jesper Sundewall3Deutsche Gesellschaft fuer Internationale Zusammenarbeit (GIZ) GmbHLund UniversityClinton Health Access Initiative (CHAI) Inc.University of Kwazulu-NatalSexual and reproductive health and rights (SRHR) are an essential component of universal health coverage (UHC). In determining which SRHR interventions to include in their UHC benefits package, countries are advised to evaluate each service based on robust and reliable data, including cost-effectiveness data. We conducted a scoping review of full economic evaluations of the essential SRHR interventions included in the comprehensive package presented by the Guttmacher-Lancet Commission on SRHR. Of the 462 economic evaluations that met the inclusion criteria, the quantity of publications varied across regions, countries, and the components of the SRHR package, with the majority of publications reporting on HIV/AIDS, reproductive cancer, as well as antenatal care, childbirth, and postnatal care. Systematic reviews are needed for these components in support of more conclusive findings and actionable recommendations for programmes and policy. Further evaluations for interventions included in the remaining components are needed to provide a stronger evidence base for decision-making. The economic evaluations reviewed for this article were inherently varied in their applied methodologies, SRHR interventions and comparators, cost and effectiveness data, and cost-effectiveness thresholds, among others. Despite these differences, the vast majority of publications reported the evaluated SRHR interventions to be cost-effective.http://dx.doi.org/10.1080/26410397.2021.1983107sexual and reproductive health and rightsuniversal health coveragehealth benefits packageeconomic evaluationcost-effectivenesslower- and middle-income countriesscoping review |
| spellingShingle | Andrea Hannah Kaiser Björn Ekman Madeleine Dimarco Jesper Sundewall The cost-effectiveness of sexual and reproductive health and rights interventions in low- and middle-income countries: a scoping review Sexual and Reproductive Health Matters sexual and reproductive health and rights universal health coverage health benefits package economic evaluation cost-effectiveness lower- and middle-income countries scoping review |
| title | The cost-effectiveness of sexual and reproductive health and rights interventions in low- and middle-income countries: a scoping review |
| title_full | The cost-effectiveness of sexual and reproductive health and rights interventions in low- and middle-income countries: a scoping review |
| title_fullStr | The cost-effectiveness of sexual and reproductive health and rights interventions in low- and middle-income countries: a scoping review |
| title_full_unstemmed | The cost-effectiveness of sexual and reproductive health and rights interventions in low- and middle-income countries: a scoping review |
| title_short | The cost-effectiveness of sexual and reproductive health and rights interventions in low- and middle-income countries: a scoping review |
| title_sort | cost effectiveness of sexual and reproductive health and rights interventions in low and middle income countries a scoping review |
| topic | sexual and reproductive health and rights universal health coverage health benefits package economic evaluation cost-effectiveness lower- and middle-income countries scoping review |
| url | http://dx.doi.org/10.1080/26410397.2021.1983107 |
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