We're unable to sign you in at this time. Please try again in a few minutes.
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
Comment & Response |

Reducing Neonatal Mortality Are High-Coverage Women's Participatory Groups the Cost-effective Solution We Have Been Searching for?

Margo Klar, MPH1,2
[+] Author Affiliations
1Department of Epidemiology, College of Medicine, University of Florida, Gainesville
2College of Public Health and Health Professions, University of Florida, Gainesville
JAMA Pediatr. 2014;168(3):292-293. doi:10.1001/jamapediatrics.2013.4870.
Text Size: A A A
Published online


To the Editor As a Gates grant recipient working on a technology to improve birth outcomes in low-resource environments, I welcome cost-effectiveness in community-based interventions. Unfortunately, after reading Fottrell et al,1 I am left with several thoughts. First, the claim that women’s group participation is a cost-effective intervention is exciting; however, the cost analysis is not explained, even minimally. One has to read the eAppendix even for basic information. Readers recognize that women’s groups focusing on the dissemination of information on maternal and child health to others have a great potential to save lives and money. There was no clear indication as to how and why this conclusion was drawn within the article. Fottrell et al should explain if the cost-effectiveness is inclusive of the health system–strengthening costs and what that entails financially, which indicates a significant improvement in itself.


Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

First Page Preview

View Large
First page PDF preview





March 1, 2014
Edward Fottrell, PhD; Jolene Skordis-Worrall, PhD; Tanja A. J. Houweling, PhD
1Institute for Global Health, University College London, London, England
JAMA Pediatr. 2014;168(3):292-293. doi:10.1001/jamapediatrics.2013.4873.
Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Please click the checkbox indicating that you have read the full article in order to submit your answers.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.


Some tools below are only available to our subscribers or users with an online account.

0 Citations

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

Related Content

Customize your page view by dragging & repositioning the boxes below.

See Also...