Selected characteristics of the included studies (n=36)
First author | Year published | Setting | Interventions | Class of HSS | Comparator | Effectiveness measure | Thematic emphases |
Arora | 2017 | India and Bangladesh | Telephone management of pressure ulcers for people with spinal injuries | Platforms | Control arm of randomised controlled trial | Patient QALYs pre/post | Precision, realism |
Barasa | 2012 | Kenya | Dissemination of guidelines for paediatric emergency care | Workforce | Control arm of cluster randomised trial | Average % improvement in 14 indicators between intervention and control sites; DALYs estimated by external source | Generality, realism |
Broughton | 2013 | Niger | Quality improvement to prevent postpartum haemorrhage | Governance | Same site(s) before intervention | PPH cases, DALYs, deaths averted; compliance with birth management and newborn care standards | Precision, realism |
Burn | 2014 | All LICs | Pulse oximeter use during surgery | Tools | Modelled usual care | DALYs averted (discounted; disability due to non-fatal hypoxic brain injury not included) | Generality, precision |
Buttorff | 2012 | India | Task-shifting for mental healthcare (provided by lay health workers) | Workforce | Control arm of cluster randomised trial | QALYs produced; work days gained; psychiatric symptom score | Precision, realism |
Chanda | 2011 | Zambia | Task-shifting to community health workers for treatment of uncomplicated malaria | Workforce | Unblinded trial based on patient-preferred treatment | Properly identified and treated cases | Precision, realism |
Chen | 2012 | Nicaragua | Volunteer orthopaedic surgeon trips | Platforms | Expert evaluation of likely counterfactuals | DALYs averted | Precision, realism |
Colbourn | 2015 | Malawi | Women’s community groups; quality improvement in maternal/child health | Governance | Control arm of cluster randomised trial | Maternal, neonatal, and perinatal mortality; DALYs averted (attributable to reduced mortality only) | Precision, realism |
Datiko | 2010 | Ethiopia | Task-shifting to health extension workers for treatment of tuberculosis | Workforce | Control arm of cluster randomised trial | Fully treated cases | Precision, realism |
Do Prado | 2011 | Brazil | Task-shifting to home-based guardians for directly observed treatment of tuberculosis | Workforce | Unblinded trial based on patient-preferred treatment | Fully treated cases | Precision, realism |
Driessen | 2012 | Malawi | Implementation of electronic medical records | Tools | Modelled usual care | Length of hospital stays, time transcribing medical records, laboratory use | Precision, realism |
Gertler | 2014 | Argentina | Pay for performance incentives for use and quality of maternal and child health services | Governance | Control arms in natural experiment | Ten tracers indicating quality of maternal and child health services; DALYs for neonatal death and low birth weight only | Precision, realism |
Hayford | 2014 | Bangladesh | Extended clinic hours, vaccinator training, active surveillance and community participation in vaccination | Workforce | Same site(s) before intervention | Fully immunised children | Precision, realism |
Howlader | 2011 | Bangladesh | Strengthening maternal care in community health centres | Platforms | Modelled usual care | Maternal mortality | Generality, precision |
Jansen | 2014 | India | Facilitating improved follow-up for cleft palate surgeries | Platforms | Same site(s) before intervention | Number of follow-up appointments kept | Precision, realism |
Jo | 2019 | Bangladesh | Enhanced home-based maternal and neonatal care | Platforms | Control arm of cluster randomised trial | Neonatal deaths averted; DALYs averted | Precision, realism |
LeFevre | 2013 | Bangladesh | Improved training and mobilisation in neonatal community care with or without the addition of home-based care | Platforms | Control arm of cluster randomised trial | Neonatal deaths averted; DALYs averted | Generality, realism |
Lewycka | 2013 | Malawi | Training of women’s groups and peer counsellors for maternal and infant health | Workforce | Control arm of cluster randomised trial | Years of life lost | Precision, realism |
Luangasanatip | 2018 | Thailand | Hand-washing promotion among ICU healthcare workers | Workforce | Modelled usual care | QALYs gained; deaths averted | Generality, precision |
Manasyan | 2010 | Zambia | Training midwives in essential newborn care | Workforce | Same site(s) before intervention | Lives saved; DALYs averted | Precision, realism |
Mathewos | 2017 | Ethiopia | Home-based maternal and neonatal care | Platforms | Control arm of cluster randomised trial | Neonatal deaths averted; DALYs averted | Precision, realism |
Nandi | 2015 | India | Scale-up of home-based neonatal care | Platforms | Modelled usual care | Incidence of severe neonatal morbidity; neonatal deaths averted | Generality, realism |
Patouillard | 2011 | Ghana | Task-shifting to community health workers for intermittent preventative treatment for malaria | Workforce | Control arm of cluster randomised trial | Fully treated children | Precision, realism |
Pitt | 2016 | Ghana | Home-based neonatal care | Platforms | Control arm of cluster randomised trial | Neonatal mortality, (discounted 3% per year) life-years saved | Precision, realism |
Prinja | 2018 | India | Mobile electronic medical record programme with reminders for guidelines based care | Tools | Control arm of cluster randomised trial | Infant deaths averted; episodes of illness averted; DALYs averted | Precision, realism |
Puett | 2012 | Bangladesh | Task-shifting to community health workers for treatment of severe acute malnutrition | Workforce | Control arm of cluster randomised trial | Deaths averted; DALYs averted | Generality, realism |
Sabin | 2012 | Zambia | Training traditional birth attendants in neonatal emergencies | Workforce | Control arm of cluster randomised trial | Deaths averted; DALYs averted | Precision, realism |
Seaman | 2020 | GBD-region specific averages of all LMICs within region | Hep B vaccination with controlled temperature chain protocol and compact prefilled auto-disable syringes | Tools | Modelled usual care | DALYs averted | Generality, precision |
Shepard | 2020 | Zimbabwe | Results-based financing for maternal and child care | Governance | Control arm of cluster randomised trial | QALYs based on lives saved, according to LiST tool | Generality, realism |
Somigliana | 2011 | Uganda | Obstetrics-focused ambulance service | Tools | Expert evaluation of likely counterfactuals | Life years saved | Precision, realism |
Stenberg | 2019 | 67 LMICs | Strengthening primary care and supporting, cross-sectoral interventions as part of universal health coverage | Governance | Modelled usual care | Deaths averted; gains in life expectancy at birth | Generality, precision |
Tripathy | 2010 | India | Women’s community groups teaching new mothers about health of self and infant | Platforms | Control arm of cluster randomised trial | Lives saved; life-years saved | Precision, realism |
Vossius | 2014 | Tanzania | Training in neonatal resuscitation | Workforce | Same site(s) before intervention | Lives saved; DALYs averted | Precision, realism |
Xue | 2012 | China | Implementation of electronic medical records | Tools | Same site(s) before intervention | Length of hospital stay; infection rate; mortality | Precision, realism |
Yan | 2014 | China | Task-shifting to community organisations for HIV detection and care | Workforce | Same site(s) before intervention | Cases of HIV detected | Precision, realism |
Zeng | 2018 | Zambia | Results-based financing for maternal and child care | Governance | Control arm of cluster randomised trial | Lives saved; QALYs based on lives saved | Precision, realism |
DALYs, disability-adjusted life years; ICU, intensive care unit; LICs, low-income countries; LMICs, low-income and middle-income countries; QALYs, quality-adjusted life years.