Table 5.
Changes in maternal deaths and incremental costs that could accompany increased coverage of select maternal interventions
| 2011 | 2012 | 2013 | 2014 | 2015 | 2016 | 2017 | 2018 | 2019 | 2020 | 2021 | 2022 | Total | |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
|
APPROACH 1 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Interventions |
|
|
|
|
|
|
|
|
|
|
|
|
|
| Reduction in unmet need for contraception |
25% |
50% |
75% |
100% |
100% |
100% |
100% |
100% |
100% |
100% |
100% |
100% |
|
| ·Increase in coverage of safe abortion |
30% |
50% |
80% |
100% |
100% |
100% |
100% |
100% |
100% |
100% |
100% |
100% |
|
| ·Facility upgrade package |
- |
- |
- |
- |
1 |
1 |
2 |
2 |
3 |
3 |
4 |
4 |
|
|
Incremental cost (millions) |
$3.88 |
$7.91 |
$12.16 |
$16.65 |
$55.27 |
$56.73 |
$100.40 |
$103.00 |
$151.47 |
$155.30 |
$205.89 |
$210.90 |
$1,079.55 |
|
Maternal deaths averted |
2,795 |
4,912 |
7,374 |
9,691 |
16,969 |
17,394 |
25,125 |
25,736 |
34,777 |
35,594 |
46,639 |
47,690 |
274,695 |
| |
2011 |
2012 |
2013 |
2014 |
2015 |
2016 |
2017 |
2018 |
2019 |
2020 |
2021 |
2022 |
Total |
|
APPROACH 2 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Interventions |
|
|
|
|
|
|
|
|
|
|
|
|
|
| Reduction in unmet need for contraception |
- |
- |
- |
- |
- |
- |
- |
- |
25% |
50% |
75% |
100% |
|
| ·Increase in coverage of safe abortion |
- |
- |
- |
- |
- |
- |
- |
- |
30% |
50% |
80% |
100% |
|
| ·Facility upgrade package |
1 |
1 |
2 |
2 |
3 |
3 |
4 |
4 |
4 |
4 |
4 |
4 |
|
|
Incremental cost (millions) |
$41.18 |
$42.28 |
$89.08 |
$91.44 |
$143.63 |
$147.40 |
$202.16 |
$207.39 |
$205.77 |
$207.76 |
$209.61 |
$211.30 |
$1,798.99 |
|
Maternal deaths averted |
7,103 |
7,284 |
14,866 |
15,242 |
24,183 |
24,781 |
35,815 |
36,686 |
39,766 |
42,242 |
45,124 |
47,672 |
340,765 |
| |
2011 |
2012 |
2013 |
2014 |
2015 |
2016 |
2017 |
2018 |
2019 |
2020 |
2021 |
2022 |
Total |
|
APPROACH 3 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Interventions |
|
|
|
|
|
|
|
|
|
|
|
|
|
| ·Reduction in unmet need for contraception |
25% |
25% |
50% |
50% |
75% |
75% |
100% |
100% |
100% |
100% |
100% |
100% |
|
| · Increase in coverage of safe abortion |
30% |
30% |
50% |
50% |
80% |
80% |
100% |
100% |
100% |
100% |
100% |
100% |
|
| ·Facility upgrade package |
1 |
1 |
2 |
2 |
3 |
3 |
4 |
4 |
4 |
4 |
4 |
4 |
|
|
Incremental cost (millions) |
$42.87 |
$44.02 |
$89.20 |
$91.57 |
$138.23 |
$141.86 |
$186.97 |
$191.81 |
$196.73 |
$201.69 |
$206.67 |
$211.66 |
$1,743.26 |
| Maternal deaths averted | 9,664 | 9,915 | 19,053 | 19,540 | 29,980 | 30,729 | 42,414 | 43,453 | 44,501 | 45,552 | 46,604 | 47,655 | 389,060 |
Select maternal interventions include increased use of modern contraceptives (through reducing unmet need), and safe abortion services, as well as improving intrapartum care (see text). These interventions are applied in three different ways or “Approaches” to stacked cohorts of women aged 15–45 years over a 12 year period (from 2011 to 2022). In Approach 1, utilization of modern contraceptives and safe abortion services were gradually maximized prior to improving intrapartum care; in Approach 2, improvement in intrapartum care was progressively increased to a maximum before the use of modern contraceptives and safe abortion services were increased; in Approach 3, all three interventions were gradually maximized concurrently.