Patient and health system costs of managing pregnancy and birth-related complications in sub-Saharan Africa: a systematic review

Mori, Amani Thomas; Binyaruka, Peter; Hangoma, Peter; Robberstad, Bjarne; Sandoy, Ingvild

doi:10.1186/s13561-020-00283-y

Table 3 Costs for normal delivery and Caesarean sections

From: Patient and health system costs of managing pregnancy and birth-related complications in sub-Saharan Africa: a systematic review

Authors name	Country	Data collection year	Cost category	Base year cost (USD)	Cost (USD) in 2018
Normal delivery
*Patient perspective*
Asante et al. (2007) [19]	Ghana	2004	Direct	42.1	52.4
Borghi et al. (2003) [21]	Benin	2000	Direct	23.0	33.5
Borghi et al. (2003) [21]	Ghana	1999–2000	Direct	15.0	21.9
Deboutte et al. (2015) [27]	DR Congo	2007–2008	Direct	15.3	18.5
Kalu-Umeh et al. (2013) [34]	Nigeria	2010	Direct	9.0	10.4
Kowalewski (2002) [35]	Tanzania	1997–1998	Direct & indirect	18.5	28.5
Kruk et al. (2008) [36]	Tanzania	2007	Direct	6.9	8.6
Levin et al. (2000) [38]	Uganda	1998	Direct & indirect	17.0	26.2
	Malawi	1998	Direct & indirect	7.8	120
	Ghana	1998	Direct & indirect	16.6	25.5
Meda et al. (2019) [44]	Burkina Faso	2016	Direct	6.1	6.4
Ntambue et al. (2018) [47]	DR Congo	2014	Direct & indirect	45.0	50.2
Pearson et al. (2011) [52]	Ethiopia	2008–2009	Direct	14.4	16.8
	Tanzania	2006	Direct	4.5	5.6
	Burkina Faso	2006	Direct	6.6	8.2
Perkins et al. (2009) [53]	Kenya	2006	Direct	14.2	17.7
Ridde et al. (2012) [55]	Burkina Faso	2010	Direct	9.9	11.4
Sambo et al. (2013) [56]	Nigeria	2013	Direct	9.6	10.7
*Provider perspective*
Both et al. (2007) [22]	Tanzania	2003	Recurrent & capital	6.3	8.6
Dalaba et al. (2013) [24]	Ghana	2010	Recurrent & capital	63.2	72.8
Johns et al. (2019) [33]	Uganda	2017–2018	Recurrent & capital	41.3	43.2
Johns et al. (2019) [33]	Zambia	2017–2018	Recurrent & capital	23.0	24.1
Levin at al (2000) [38]	Uganda	1998	Recurrent	21.2	32.7
	Malawi	1998	Recurrent	14.3	22.0
	Ghana	1998	Recurrent	10.8	16.7
Orach et al. (2007) [49]	Uganda	2003	Recurrent & capital	6.1	8.4
Witter et al. (2010) [63]	Senegal	2006–2007	Recurrent	15.0	18.7
C-section
*Patient perspective*
Arsenault et al. (2013) [18]	Mali	2008–2011	Direct	107.0^*	119.5
Asante et al. (2007) [19]	Ghana	2004	Direct	195.0	242.9
Deboutte et al. (2015) [27]	DR Congo	2007–2008	Direct	79.7	96.5
Honda et al. (2011) [30]	Madagascar	2007–2008	Direct	139.0	162.1
Kalu-Umeh et al. (2013) [34]	Nigeria	2010	Direct	99.0	114.0
Kowalewski [35]	Tanzania	1997–1998	Direct & indirect	135.0	208.0
Levin et al. (2000) [38]	Uganda	1998	Direct & indirect	36.2	55.8
Levin et al. (2000) [38]	Ghana	1998	Direct & indirect	104.0	160.2
Meda et al. (2019) [44]	Burkina Faso	2016	Direct	136.4	142.7
Ntambue et al. (2018) [47]	DR Congo	2014	Direct & indirect	338.0	377.3
Pearson et al. (2011) [52]	Ethiopia	2008–2009	Direct	51.1	59.6
Ravit et al. (2015) [54]	Mali	2008–2011	Direct	163.0	182.0
*Provider perspective*
Both et al. (2007) [22]	Tanzania	2003	Recurrent & capital	69.3	94.5
Cornelissen et al. (2017) [23]	Malawi	2014–2015	Recurrent & capital	351.0	391.8
Deboutte et al. (2013) [26]	DR Congo	2007–2008	Recurrent & capital	157.8	184.0
Johns et al. (2019) [33]	Uganda	2017–2018	Recurrent & capital	238.5	249.5
Johns et al. (2019) [33]	Zambia	2017–2018	Recurrent & capital	537	561.8
Levin et al. (2000) [38]	Uganda	1998	Recurrent	79.8	122.9
	Malawi	1998	Recurrent	81.9	126.1
	Ghana	1998	Recurrent	72.2	111.2
Lofgren et al. (2015) [43]	Uganda	2011	Recurrent & capital	71.4	79.7
Odhiambo et al. (2019) [48]	Rwanda	2015	Recurrent & capital	339	359.2
Orach et al. (2007) [49]	Uganda	2003	Recurrent & capital	58.7	80.1
Witter et al. (2010) [63]	Senegal	2006–2007	Recurrent	137.0	165.9

^*represents costs of treatment only

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ISSN: 2191-1991

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