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Table 4 Distribution of births across delivery settings and coverage of uterotonics at each delivery setting in status quo and intervention scenarios. Values modelled in sensitivity analysis are indicated in parentheses

From: Cost-effectiveness of inhaled oxytocin for prevention of postpartum haemorrhage: a modelling study applied to two high burden settings

 

Setting 1

Setting 2

Setting 3

Setting 4

Setting 5

Value

Source

Value

Source

Value

Source

Value

Source

Value

Source

Bangladesh

Births taking place at setting

4.0%

BMMS 2016 [13]

9.3%

BMMS 2016 [13]

3.7%

BMMS 2016 [13]

50.2%

BMMS 2016 [13]

32.8%

BMMS 2016 [13]

Births receiving each uterotonic in status quo

  Injectable oxytocin

90.2%

Health facility survey [15]

83.9%

Health facility survey [15]

11%

Health facility survey [15]

0%

Assumption

86%

Health facility survey [15]

  Misoprostol

0%

Assumption

0%

Assumption

69%

Health facility survey [15] Nasreen et al. 2011 [40]

42%b

Quaiyum et al. 2014 [41]

0%

Assumption

Births receiving each uterotonic in intervention scenarioa

  Injectable oxytocin

63%

BMMS 2016 [13]

20%

BMMS 2016 [13]

0%

Assumption

0%

Assumption

86%

BMMS 2016 [13]

  Misoprostol

0%

Assumption

0%

Assumption

0%

Assumption

0%

Assumption

0%

Assumption

  Inhaled oxytocin

28%

Assumption

64%

Assumption

80%

Assumption

42% b

Assumption

0%

Assumption

Ethiopia

Births taking place at setting

9.5%

EmONC assessment 2016 [17]

58.4%

EmONC assessment 2016 [17]

4.5%

Sibley et al. 2014 [18]

25.5%

Sibley et al. 2014 [18]

2.1%

EmONC assessment 2016 [17]

Births receiving each uterotonic in status quo

  Injectable oxytocin

81%

EmONC assessment 2016 [17]

81%

EmONC assessment 2016 [17]

0%

Assumption

0%

Assumption

81%

EmONC assessment 2016 [17]

  Misoprostol

0%

Assumption

0%

Assumption

84%c

Health facility survey [42]

0%

Assumption

0%

Assumption

Births receiving each uterotonic in intervention scenarioa

  Injectable oxytocin

2%

EmONC assessment 2016 [17]

0%

Assumption

0%

Assumption

0%

Assumption

81%

EmONC assessment 2016 [17]

  Misoprostol

0%

Assumption

0%

Assumption

0%

Assumption

0%

Assumption

0%

Assumption

  Inhaled oxytocin

78%

Assumption

81%

Assumption

84% c

Assumption

0%

Assumption

0%

Assumption

  1. BMMS Bangladesh Maternal Mortality Survey, EmONC Emergency Obstetric and Neonatal Care
  2. aCoverage of uterotonics have been modelled on the basis of injectable oxytocin being used for operative deliveries, while inhaled oxytocin is used for non-operative deliveries in settings where roll-out is modelled. See appendix (Additional file 1) for estimates of operative delivery rates in each delivery setting
  3. bVaried in sensitivity analyses from 21 to 63%; (uniform distribution for probabilistic sensitivity analysis)
  4. cVaried in sensitivity analyses from 75 to 95%; (uniform distribution for probabilistic sensitivity analysis)