Maternal Health

Year: 2017-2018
Duration: 1 year

To reduce the risk of complications during and following pregnancy, the World Health Organization (WHO) recommends elemental iron and folic acid (IFA) as part of antenatal care. However, anemia and subsequent birth complications continue to be an issue in developing countries. The International community has been exploring other interventions to target this issue, including Multiple micronutrient (MMN) supplements. The evidence collected to date does not provide any final recommendation on the choice between IFA and MMN. As a result, latest WHO guidelines at the time of this project leave the choice between IFA and MMC to countries without providing any methodology or guidelines on how to make this decision.

Limestone is hired by Nutrition International to develop a cost-effectiveness analysis model that can help countries choose between IFA and MMN. Limestone’s work has resulted in a probabilistic analytical model that can provide an answer to this question, using the evidence available for each country. The results of this work have so far been presented at the New York Academy of Sciences and the Society for Benefit-Cost Analysis. To effectively advise the client, Limestone conducted the following analysis:

  • Situation analysis
  • Systematic review of existing evidence
  • Cost-effectiveness analysis
  • Probabilistic analysis using Monte-Carlo simulations
  • Development of a web-based dashboard
  • Writing an academic manuscript for publication

The analytical model has so far been used in the following contexts: Pakistan, Bangladesh, and India.

Timeline

Research, Model Development, Final Report 2017

  • Conducted comprehensive research regarding IFAS and MMS effectiveness and costs
  • Developed deterministic and probabilistic model to compare supplement modalities
  • Created visual model interface for clients future use in other contexts
  • Produced final report summarizing model outcomes and implications

Visualizations 2017-2018

  • Conducted comprehensive research regarding IFAS and MMS effectiveness and costs
  • Developed deterministic and probabilistic model to compare supplement modalities
  • Created visual model interface for clients future use in other contexts
  • Produced final report summarizing model outcomes and implications

Publication 2017-2018

  • Conducted comprehensive research regarding IFAS and MMS effectiveness and costs
  • Developed deterministic and probabilistic model to compare supplement modalities
  • Created visual model interface for clients future use in other contexts
  • Produced final report summarizing model outcomes and implications