Table 5.
Incremental cost-effectiveness ratios from public financing of 18 maternal, newborn, and child health interventions in Nigeria, disaggregated by income quintile (2019–30)
|
Incremental cost per life saved, US$* |
Incremental cost per life-year saved, US$* |
||||||||
|---|---|---|---|---|---|---|---|---|---|
| 2020 | 2025 | 2030 | Mean (SD), 2019–30 | 2020 | 2025 | 2030 | Mean (SD), 2019–30 | ||
| Uniform scale-up scenario | |||||||||
| Household wealth quintile† | |||||||||
| 1 (poorest) | 1208 | 1997 | 2483 | 2074 (431) | 22·1 | 36·6 | 45·7 | 38·1 (8·0) | |
| 2 | 1362 | 1974 | 2331 | 2045 (373) | 25·0 | 36·6 | 43·0 | 37·8 (6·9) | |
| 3 | 1872 | 2143 | 2680 | 2349 (417) | 34·6 | 40·1 | 49·9 | 43·9 (7·8) | |
| 4 | 2402 | 3071 | 2744 | 2779 (283) | 45·3 | 57·8 | 52·1 | 52·6 (5·3) | |
| 5 (wealthiest) | 3397 | 2762 | 3188 | 2877 (462) | 64·9 | 54·0 | 62·3 | 56·1 (8·7) | |
| National | 1937 | 2360 | 2596 | 2374 (278) | 36·0 | 44·2 | 48·5 | 44·4 (5·2) | |
| Pro-poor targeted scale-up scenario | |||||||||
| Household wealth quintile† | |||||||||
| 1 (poorest) | 1255 | 2041 | 2720 | 2305 (528) | 23·0 | 37·6 | 50·3 | 42·4 (9·8) | |
| 2 | 1373 | 2097 | 2594 | 2207 (431) | 25·2 | 38·7 | 47·9 | 40·8 (8·0) | |
| 3 | 1888 | 2249 | 2304 | 2292 (398) | 34·9 | 42·0 | 43·1 | 42·8 (7·4) | |
| 4 | 2354 | 3117 | 2669 | 2908 (382) | 44·3 | 58·7 | 50·8 | 54·9 (7·2) | |
| 5 (wealthiest) | 3222 | 3949 | 2457 | 2852 (674) | 61·8 | 75·8 | 48·5 | 55·7 (12·4) | |
| National | 1657 | 2330 | 2571 | 2384 (383) | 30·6 | 43·3 | 48·0 | 44·4 (7·2) | |
*
Estimates were not discounted; to estimate life-years saved, we multiplied number of deaths averted at age x by the remaining life expectancy at age x, where x was five years for children and 30 years (midpoint between 15 and 45 years) for women of reproductive age.
†
Quintiles were defined at the beginning of the analysis period (2018) and the population was considered as a cohort between 2018 and 2030—ie, individuals maintained their quintiles during the period of interest (2018–30).