Community-led Maternal Health Care Access Improvement Initiatives in Ethiopian Villages: Cost-Effectiveness Assessment,

Community-led maternal health care initiatives have been implemented in Ethiopian villages to improve access to essential services. A longitudinal mixed-methods approach was employed, including surveys, focus group discussions, and medical records review. Data were analysed using hierarchical regression models for statistical inference. Community-led initiatives resulted in a 25% reduction in maternal mortality rates (MRR) compared to control villages over the study period, with an estimated MRR of 10 per 1000 live births. The cost-effectiveness analysis demonstrated that community-led interventions were financially viable and yielded significant health benefits at a lower cost than conventional healthcare models. Further replication in diverse settings is recommended, alongside policy advocacy for increased funding and support for community-based maternal health care initiatives. Treatment effect was estimated with logit (pᵢ) =₀+^ Xᵢ, and uncertainty reported using confidence-interval based inference.