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Estimating the Effectiveness of Perinatal Care Technologies by Expert Opinion

Published online by Cambridge University Press:  10 March 2009

Ronney B. Panerai ,
Rosimary T. Almeida ,
Margareth C. Portela ,
Manoel De Carvalho ,
Osvaldo Coura-silho  and
Tomas P. Da Costa
Ronney B. Panerai
Affiliation:
Federal University of Rio de Janeiro
Rosimary T. Almeida
Affiliation:
Federal University of Rio de Janeiro
Margareth C. Portela
Affiliation:
Federal University of Rio de Janeiro
Manoel De Carvalho
Affiliation:
Fernandes Figueira Institute, Oswaldo Cruz Foundation
Osvaldo Coura-silho
Affiliation:
Maternity School
Tomas P. Da Costa
Affiliation:
Federal University of Rio de Janeiro
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Abstract

The majority of technologies in use in perinatal care were organized into 45 technological functions. Forty-six experts from 19 different regions of Brazil and other Latin American countries then selected a “basic package” (BP) of 15 technological functions. Considering the 12 main causes of perinatal mortality in Brazil, the experts estimated the number of preventable deaths, assuming universal coverage by the BP and the additional reductions that could be obtained by gradually adding other technological functions to the BP. A simulation was performed for the 26 states of Brazil to identify regional priorities for the diffusion of technological functions. For most regions, the BP appears to be the most effective intervention, with the potential of reducing perinatal mortality by 33%, followed by “coordination of services and referral of pregnant women” (14%), and “treatment of respiratory conditions” (11.8%).

Type
General Essays
Information
International Journal of Technology Assessment in Health Care , Volume 7 , Issue 3 , Summer 1991 , pp. 367 - 378
Copyright
Copyright © Cambridge University Press 1991

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