BEMPU Health
TempWatchField Evaluation / White PaperCost-Effectiveness Analysis

Evaluating Saving Lives at Birth: Cost-Effectiveness Analysis of BEMPU TempWatch

Year

2020

Location

🇮🇳 India

Sample Size

Modelled: 1,470,536 newborns across 15 states + 15 tier-1 cities

Investigators

Duke Global Health Innovation Center

Institutions

Duke Global Health Innovation Center · Duke Global Health Institute Evidence Lab

Funded By

Saving Lives at Birth (SL@B), USAID, Bill & Melinda Gates Foundation, Grand Challenges Canada, Norwegian Agency for Development Cooperation (NORAD), UK Department for International Development (DFID), Korea International Cooperation Agency (KOICA)

Background & Methods

This report presents the cost-effectiveness analysis (CEA) of the BEMPU TempWatch — a Saving Lives at Birth (SL@B) funded innovation. The CEA quantifies the health and social impact of scaling BEMPU's TempWatch over the period 2018 to 2030 across fifteen states and fifteen tier-one cities in India. Cost data were collected directly from BEMPU, while impact estimates were obtained from models developed by Grand Challenges Canada (GCC) and reviewed by Duke University. Three incremental cost-effectiveness ratios (ICERs) were estimated at a 3% discount rate: (1) incremental costs per new beneficiary, (2) incremental costs per newborn life saved, and (3) incremental costs per year of life saved. By WHO-CHOICE criteria, an intervention is 'very cost-effective' if the ICER is less than the country's GDP per capita.

Key Results

Outcome / MetricBEMPU Groupp-value
Projected beneficiaries (2018–2030)1,470,536 newborns—
Total projected scaling costUSD $20,035,359—
Projected newborn lives saved26,844—
Projected years of life saved789,005—
ICER: cost per beneficiaryUSD $13.62—
ICER: cost per newborn life savedUSD $746—
ICER: cost per year of life savedUSD $25 (1.2% of India GDP/capita)—
  • 1Scaling TempWatch nationally is classified as 'very cost-effective' by WHO-CHOICE criteria (ICER well below India's GDP per capita).
  • 2At $25 per year of life saved — just 1.2% of India's GDP per capita — TempWatch is among the most cost-effective neonatal interventions evaluated.
  • 3The estimated cost per newborn life saved ($746) compares favourably to other proven neonatal interventions in low- and middle-income countries.
  • 4Reaching 1.47 million newborns across 15 states and 15 tier-1 cities could prevent an estimated 26,844 deaths.

Why This Matters

This independent analysis by Duke University is the definitive economic evidence base for TempWatch scale-up policy decisions. It demonstrates that continuous hypothermia monitoring delivers exceptional value for health systems in low- and middle-income countries, making it a compelling tool for government procurement discussions.

How to Cite

Duke Global Health Innovation Center & Duke Global Health Institute Evidence Lab. Evaluating Saving Lives at Birth Cost-Effectiveness Analysis: BEMPU-TempWatch. August 2020.