Using, IndiaSim, an agent-based microsimulation model, we evaluated two different interventions for scaling up the HBNC: in the first, the existing network of community health workers in rural areas (with 60.1% coverage) would provide HBNC to households without current access to home- or facility-based newborn care. In the second, we examine increased coverage to the point where each state reached 90% coverage of neonatal care, by HNBC or other care.
We estimated that the first intervention would be effective in preventing 48 incident cases of severe neonatal ailments and 5 related deaths per 1000 live births in rural areas. The second intervention was even more effective, with estimates of 57 incident cases and 6 related deaths averted. We also found that the interventions would save $4411 and $5024 respectively in out-of-pocket treatment costs, and provide $285 and $340 in incremental value of insurance per 1000 live births. The outcomes are highly progressive, with greater benefits for lower income groups and poorer states.