IRMNH VFM benchmarking & cost-effectiveness analysis

Location Sierra Leone

The Project

The Integrated Reproductive Maternal and Newborn Health (IRMNH) programme was a five-year programme which supported the use of a nationwide comprehensive package of reproductive, maternal and newborn health care services across Sierra Leone. The programme was innovative in that it brought together major implementing partners in the health sector to support the Ministry of Health and Sanitation under one umbrella programme.

LAMP conducted a regional value for money benchmarking study and cost-effectiveness analysis of the IRMNH programme. The VfM benchmarking included a desk-based review of the value for money performance indicators of the programme together with other similar programmes in Sierra Leone and the West African region, using available programme documents. Also, using the Spectrum Policy Modelling System Software and programme data made available, the cost effectiveness analysis of the programme estimated the potential impact of the IRMNH intervention.

The results of the studies provided programme implementers with information that can be used for accountability and advocacy purposes. In addition, it provided a better understanding of the IRMNH programme’s impact and information to inform future design.


  • Estimated cost per DALY averted was lower than at the end of the programme compared to the original estimate in the business case
  • Conducted benchmarking exercise of 12 health programmes across more than 6 countries in Africa

Work with us

Whether you’re an organisation wanting to improve your efficiency and effectiveness, a consultant with skills and expertise to share, or if you just want to find out more about our work, we’d love to hear from you.