My research interests remain focused on economic evaluation, and specifically conducting costing and cost-effectiveness studies in low-income countries. To date, this includes work with Save the Children's Saving Newborn Lives Initiative to evaluate several community based neonatal health interventions in Bangladesh, Mali, Nepal, Pakistan and Indonesia. I have additionally worked in collaboration with Aga Khan University, Society for Applied Studies, Save the Children, UNICEF, WHO, and other partners to explore factors associated with enhancing diarrhea treatment services in children under 5. This includes work to determine the cost-effectiveness of zinc in addition to ORS for the treatment of acute diarrhea in children under 5 in Pakistan, India, and Mali. At present, I am funded through the Child Health Epidemiology Research Group to determine costs associated with maternal and neonatal health care and diarrhea treatment at the community level in low resource settings.

International Health; maternal, newborn, and child health; evaluation of community based interventions; costing and cost-effectiveness; equity; financial barriers to care; micronutrients

PEER-REVIEW PUBLICATIONS

Winch PJ, Swedberg E, Doumbia S, Kanté M, Cheick K, Sissoko T, LeFevre AE, Gilroy KE, Black RE, Fontaine O, and the Mali Zinc Introduction Study Group. Cluster-randomized programme effectiveness study of community case management with zinc for childhood diarrhoea in southern Mali. (Bulletin of the World Health Organization in press)

LeFevre A, Shillcutt S, Saha S, Chowdhury MAK, Law PA, Black RE, Santosham M, and Darmstadt G. Cost effectiveness of skin barrier enhancing emollients to prevent infection and death among preterm neonates in Bangladesh. (Bulletin of the World Health Organization in press)

Baqui AH, El-Arifeen S, Darmstadt GL, Ahmed S, Williams EK, Seraji HR, Mannan I, Rahman SM, Shah R, Saha SK, Syed U, Winch PJ, LeFevre A, Santosham M, Black RE; Projahnmo Study Group. Impact of a package of community-based newborn care interventions implemented through two service delivery strategies in Sylhet district, Bangladesh: a cluster-randomised controlled trial. Lancet. 2008 Jun 7;371(9628):1936-44.

SUBMITTED MANUSCRIPTS

LeFevre A, Waters H, Shillcutt S, Haider S, Darmstadt G, El Arifeen S, Mannan I, Wall S, Syed U, and Baqui AH. Cost effectiveness of a community-based package of maternal and newborn services in Sylhet, Bangadesh. (Submitted)

LeFevre A, Shillcutt S, Mirani M, Soofi S, Black RE, and Bhutta Z. Cost effectiveness of a community-based package of maternal and newborn services in Sindh, Pakistan (Submitted)