Table 2.
Annual health and economic burden of postpartum hemorrhage in Senegal comparing baseline to no substandard uterotonics
| Baseline | IQR | No substandard uterotonics | Difference | IQR of difference | Diff % | |||
|---|---|---|---|---|---|---|---|---|
| Health outcomes | ||||||||
| PPH ≥ 500 ml | 86,542 | 84,046 | 88,726 | 81,540 | -5,002 | -5,817 | -4,137 | -6% |
| PPH ≥ 1,000 ml | 21,152 | 20,429 | 21,871 | 19,769 | -1,383 | -1,726 | -1,023 | -7% |
| PPH ≥ 500 ml diagnosed | 22,306 | 21,521 | 23,041 | 20,275 | -2,031 | -2,429 | -1,606 | -9% |
| PPH ≥ 1,000 ml diagnosed | 6,386 | 6,137 | 6,657 | 5,823 | -563 | -743 | -366 | -9% |
| Additional uterotonic treatment | 35,250 | 34,035 | 36,437 | 29,331 | -5,918 | -6,493 | -5,240 | -17% |
| Blood transfusions | 14,408 | 13,846 | 14,938 | 9,643 | -4,765 | -5,156 | -4,359 | -33% |
| Deaths due to PPH | 447 | 411 | 480 | 418 | -28 | -74 | 17 | -6% |
| Economic outcomes | ||||||||
| Total economic burden of PPH | $19,499,322 | $17,915,171 | $20,943,962 | $18,221,486 | -1,277,836 | -2,986,716 | 494,788 | -7% |
| Total OOP costs public | $1,774,990 | $956,429 | $2,103,519 | $1,615,355 | -159,634 | -188,828 | -80,720 | -9% |
| Total OOP costs private | $833,766 | $702,163 | $939,894 | $787,498 | -46,268 | -95,959 | 3,656 | -6% |
| Long term productivity loss | $16,890,566 | $15,557,186 | $18,150,050 | $15,818,633 | -1,071,933 | -2,808,936 | 648,216 | -6% |
Diff = Difference; IQR = Interquartile range; OOP: out-of-pocket; PPH: postpartum hemorrhage; USD: United States Dollars