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Table 4 Estimated cost-benefit ratio of additional investment in midwifery

From: Investing in midwifery for sustainable development goals in low- and middle-income countries: a cost-benefit analysis

Additional investments

Cost (US$)

Recruitment of midwives

26 239 651

Recruitment of obstetrician-gynaecologists

446 300

Recruitment of nurses

1 187 821

Recruitment of community health workers

5 989 124

Initial training

87 951 654

Continuous training

8 567 864

Simulation centers

867 611

Staff practice until retirement

507 038 794

Total 1

638 288 820

Investment benefits

Monetary value (US$)

Reduction in maternal and new-born mortality (A)

17 686 912 454

Interventions performed by the midwife (B = 70% of A)

12 380 838 718

Potential to meet needs (82% of B)

10 152 287 749

Total 2

10 152 287 749

Cost-benefit ratio

 

Total 2 over Total 1

15.91