Measuring the cost-effectiveness of a home-visiting intervention to promote early child development among rural families linked to the Rwandan social protection system.

التفاصيل البيبلوغرافية
العنوان:	Measuring the cost-effectiveness of a home-visiting intervention to promote early child development among rural families linked to the Rwandan social protection system.
المؤلفون:	Desmond C; Faculty of Health Sciences, SAMRC/Wits Centre for Health Economics and Decision Science, PRICELESS, University of Witwatersrand School of Public Health, Johannesburg, South Africa., Watt KG; Centre for Rural Health, University of KwaZulu-Natal, Durban, KwaZulu-Natal, South Africa., Jensen SKG; Boston College, School of Social Work, Chestnut Hill, Massachusetts, United States of America., Simmons E; Boston College, School of Social Work, Chestnut Hill, Massachusetts, United States of America., Murray SM; University of Massachusetts Boston, Boston, Massachusetts, United States of America., Farrar J; Boston College, School of Social Work, Chestnut Hill, Massachusetts, United States of America., Placencio-Castro M; Boston College, Lynch School of Education and Human Development, Chestnut Hill, Massachusetts, United States of America., Sezibera V; Centre for Mental Health, University of Rwanda College of Medicine and Health Sciences, Kigali, Rwanda., Rawlings LB; The World Bank, Washington, DC, United States of America., Wilson B; The World Bank, Washington, DC, United States of America., Betancourt TS; Boston College, School of Social Work, Chestnut Hill, Massachusetts, United States of America.
المصدر:	PLOS global public health [PLOS Glob Public Health] 2023 Oct 24; Vol. 3 (10), pp. e0002473. Date of Electronic Publication: 2023 Oct 24 (Print Publication: 2023).
نوع المنشور:	Journal Article
اللغة:	English
بيانات الدورية:	Publisher: Public Library of Science Country of Publication: United States NLM ID: 9918283779606676 Publication Model: eCollection Cited Medium: Internet ISSN: 2767-3375 (Electronic) Linking ISSN: 27673375 NLM ISO Abbreviation: PLOS Glob Public Health Subsets: PubMed not MEDLINE
أسماء مطبوعة:	Original Publication: San Francisco, California : Public Library of Science, [2021]-
مستخلص:	Early childhood development (ECD) programmes are heralded as a way to improve children's health and educational outcomes. However, few studies in developing countries calculate the effectiveness of quality early childhood interventions. This study estimates the cost and cost-effectiveness of the Sugira Muryango (SM) trial, a home-visiting intervention to improve ECD outcomes through positive parent-child relationships. Cost-effectiveness analysis of ECD interventions is challenging given their potential to have multiple benefits. We propose a cost-effectiveness method using a single outcome, in this case the improvement in cognitive development per home-visit session, as an indication of efficiency comparable across similar interventions. The trial intervention cost US$456 per family. This cost will likely fall below US$200 if the intervention is scaled through government systems. The cost-effectiveness analysis suggests that while SM generated a relatively small impact on markers of early development, it did so efficiently. The observed improvements in cognitive development per home-visit are similar to other home-visiting interventions of longer duration. SM by focusing on the family had benefits beyond ECD, including reductions in violence against children and intermate partner violence, further analysis is needed to include these returns in the economic evaluation. Competing Interests: The authors have declared that no competing interests exist. (Copyright: © 2023 Desmond et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.)
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تواريخ الأحداث:	Date Created: 20231024 Latest Revision: 20231027
رمز التحديث:	20240628
مُعرف محوري في PubMed:	PMC10597512
DOI:	10.1371/journal.pgph.0002473
PMID:	37874790
قاعدة البيانات:	MEDLINE

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تدمد:	2767-3375
DOI:	10.1371/journal.pgph.0002473