Journal ArticleOpen Access
Cost-effectiveness of skin-barrier-enhancing emollients among preterm infants in Bangladesh
Author Affiliations
Johns Hopkins University, Bangladesh University of Health Sciences, Child Health Research Foundation, Institute of Child and Mother Health, ...
Published InBulletin of the World Health Organization
Year2010
Citations36
Abstract
OBJECTIVE: To evaluate the cost-effectiveness of topical emollients, sunflower seed oil (SSO) and synthetic Aquaphor, versus no treatment, in preventing mortality among hospitalized preterm infants (< 33 weeks gestation) at a tertiary hospital in Bangladesh. METHODS: Evidence from a randomized controlled efficacy trial was evaluated using standard Monte Carlo simulation. Programme costs were obtained from a retrospective review of activities. Patient costs were collected from patient records. Health outcomes were calculated as deaths averted and discounted years of life lost (YLLs) averted. Results were deemed cost-effective if they fell below a ceiling ratio based on the per capita gross national income of Bangladesh (United States dollars, US$ 470). FINDINGS: Aquaphor and SSO were both highly cost-effective relative to control, reducing…
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