Репозиторий
Публикация
Print
Публикация
Print

DIRECT COSTS OF UNINTENDED PREGNANCY IN THE RUSSIAN FEDERATION

Автор
Игнатьева Виктория Игоревна
 
Соавторы
Омельяновский В.В., Lowin J., Jarrett J., Dimova M., Filonenko A.
 
Тип публикации
Статья
 
Язык публикации
Русский
 
Аффилиация
Research Center for Clinical and Economic Evaluation and Pharmacoeconomics, Russian National Research Medical University
 
Издательство
APPLIED HEALTH ECONOMICS AND HEALTH POLICY : 1
 
Год
2014
 
Количество страниц
61-68
 
Количество п.л.
8.00
 
Количество п.л. автора
1.00
 

Аннотация
BACKGROUND: In 2010, almost every third pregnancy in Russia was terminated,indicating that unintended pregnancy (UP) is a public health problem. OBJECTIVE: The aim of this study was to estimate the direct cost of UP to the healthcare system in Russia and the proportion attributable to using unreliable contraception. METHODS: A cost model was built, adopting a generic payer perspective with a 1-year time horizon. The analysis cohort was defined as women of childbearing age between 18 and 44 years actively seeking to avoid pregnancy. Model inputs were derived from published sources or government statistics with a 2012 cost base. To estimate the number of UPs attributable to unreliable methods, the model combined annual typical use failure rates and age-adjusted utilization for each contraceptive method. Published survey data was used to adjust the total cost of UP by the number of UPs that were mistimed rather than unwanted. Scenario analysis considered alternate allocation of methods to the reliable and unreliable categories and estimate of the burden of UP in the target sub-group of women aged 18-29 years. RESULTS: The model estimated 1,646,799 UPs in the analysis cohort (women aged 18-44 years) with an associated annual cost of US$783 million. The model estimated 1,019,371 UPs in the target group of 18-29 years, of which 88 % were attributable to unreliable contraception. The total cost of UPs in the target group was estimated at approximately S$498 million, of which US$441 million could be considered attributable to the use of unreliable methods. CONCLUSION: The cost of UP attributable to use of unreliable contraception in Russia is substantial. Policies encouraging use of reliable contraceptive methods could reduce the burden of UP.

Ключевые слова
adult, cohort analysis, condom, contraception, female, government, health care cost, health care system, human, intrauterine contraceptive device, Russian Federation, unplanned pregnancy

Контакты

СПРАВОЧНАЯ СЛУЖБА



Многоканальный телефон:
+7 499 956-99-99

E-mail:information@ranepa.ru
ПРИЕМНАЯ КОМИССИЯ
119571, г. Москва,
Проспект Вернадского, д. 84
Бакалавриат и специалитет:
Call-центр:
+7 499 956-99-99 (многоканальный)
Часы работы: 10.00 – 18.00

Магистратура:
Контакты приемных подкомиссий факультетов/институтов Академии
ПРЕСС-СЛУЖБА
119571, г. Москва,
Проспект Вернадского, д. 84, к. 2

Телефон:
+7 499 956-99-69



E-mail:press@ranepa.ru
Гостинично-жилой комплекс
119571, г. Москва,
Проспект Вернадского, д. 84, к. 2

Телефон:+7 499 956-00-44+7 495 434-33-25

E-mail: reserv@ranepa.ru

Президентская академия - лидирующий вуз России!