Postpartum family planning in Rwanda: a cost effectiveness analysis

摘要: Background: Globally, there is a large unmet need for family planning in the postpartum period: 90% of women this group want birth spacing or to avoid unintended pregnancies and stop child bearing once desired size has been reached. In total 76% Rwandan postpartum, yet 26% remains. Currently, four most commonly used methods Rwanda are injections, subdermal implants, pills, condoms. The economic health benefit impact current method selection not evaluated. Methods: To evaluate usage rates types, cost effectiveness analysis (CEA) compared frequently broken into two categories, longer-acting reversible contraception (LARC) (injections implants) shorter-acting contraceptives (non-LARC) (pills condoms). A time horizon 24 months was reflect World Health Organization suggested two-year from until next pregnancy, conducted systems perspective. This CEA service package options provide comparator thus enabling insights differences between two. Results: For reproductive age (15-49 years) Rwanda, including LARC options, saves $18.73 per pregnancy averted, that offer non-LARC exclusively. Conclusion: There an opportunity avert unplanned associated with increased utilization methods. full benefits realized Rwanda. Under conditions presented study, includes potential be cost-saving one Effective messaging use population could both enhance reduce costs.