Scaling up family planning to reduce maternal and child mortality: the potential costs and benefits of modern contraceptive use in South Africa
SOURCE: PLoS One
OUTPUT TYPE: Journal Article
PUBLICATION YEAR: 2015
TITLE AUTHOR(S): L.Chola, S.McGee, A.Tugendhaft, E.Buchmann, K.Hofman
KEYWORDS: CONTRACEPTIVE DEVICES, FAMILY PLANNING, MORTALITY, WELL-BEING (HEALTH)
Print: HSRC Library: shelf number 8712
HANDLE: 20.500.11910/1900
URI: http://hdl.handle.net/20.500.11910/1900
OUTPUT TYPE: Journal Article
PUBLICATION YEAR: 2015
TITLE AUTHOR(S): L.Chola, S.McGee, A.Tugendhaft, E.Buchmann, K.Hofman
KEYWORDS: CONTRACEPTIVE DEVICES, FAMILY PLANNING, MORTALITY, WELL-BEING (HEALTH)
Print: HSRC Library: shelf number 8712
HANDLE: 20.500.11910/1900
URI: http://hdl.handle.net/20.500.11910/1900
If you would like to obtain a copy of this Research Output, please contact Hanlie Baudin at researchoutputs@hsrc.ac.za.
Abstract
Family planning contributes significantly to the prevention of maternal and child mortality. However, many women still do not use modern contraception and the numbers of unintended pregnancies, abortions and subsequent deaths are high. In this paper, we estimate the service delivery costs of scaling up modern contraception, and the potential impact on maternal, new-born and child survival in South Africa. The Family Planning model in Spectrum was used to project the impact of modern contraception on pregnancies, abortions and births in South Africa (2015-2030). The contraceptive prevalence rate (CPR) was increased annually by 0.68 percentage points. The Lives Saved Tool was used to estimate maternal and child deaths, with coverage of essential maternal and child health interventions increasing by 5% annually. A scenario analysis was done to test impacts when: the change in CPR was 0.1% annually; and intervention coverage increased linearly to 99% in 2030. If CPR increased by 0.68% annually, the number of pregnancies would reduce from 1.3 million in 2014 to one million in 2030. Unintended pregnancies, abortions and births decrease by approximately 20%. Family planning can avert approximately 7,000 new-born and child and 600 maternal deaths. The total annual costs of providing modern contraception in 2030 are estimated to be US$33 million and the cost per user of modern contraception is US$7 per year. The incremental cost per life year gained is US$40 for children and US$1,000 for mothers.-
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