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Book Cost effectiveness of Family Planning and Maternal and Child Health Alternative Service delivery Strategies in Rural Bangladesh

Download or read book Cost effectiveness of Family Planning and Maternal and Child Health Alternative Service delivery Strategies in Rural Bangladesh written by and published by . This book was released on 1997 with total page 15 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Book Economic Assessment of a Community Based Package of Maternal and Newborn Care Interventions in Rural Bangladesh

Download or read book Economic Assessment of a Community Based Package of Maternal and Newborn Care Interventions in Rural Bangladesh written by Amnesty LeFevre and published by . This book was released on 2010 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Evidence on the cost-effectiveness of packages of community-based maternal and neonatal health care interventions in low-resource settings is limited to a handful of studies based on primary and secondary data analyses. In addition, data on the household costs and decision-making processes pertaining to maternal and newborn care-seeking for preventive and curative care are limited, particularly in rural settings in South Asia. As part of the evaluation of a large community-based cluster-randomized controlled maternal and newborn care intervention trial in Bangladesh, researchers conducted an economic assessment of project activities aimed at achieving the following: Objective 1: Determine the cost-effectiveness of a package of community-based maternal and newborn health care services as compared to existing practice. Specific Aims 1. Determine the total program cost, users' costs, and provider costs; and 2. Determine the effectiveness and utility of the intervention in terms of (a) neonatal deaths averted; and (b) DALYs averted. Objective 2: Determine decision-making processes and users' costs associated with maternal and newborn illness and care-seeking. Specific Aims: 1. Determine which household member makes decisions about maternal and newborn care-seeking; 2. Determine reported out of pocket payments for maternal and neonatal health care services among project area providers; 3. Identify barriers to procurement of services; and 4. Identify financial coping mechanisms associated with service procurement. Methods: Efforts to determine the cost-effectiveness of intervention activities focused on the collection of economic costs for the 2002-2005 period from the societal perspective and included program costs, provider costs, and users' costs. Program costs include all costs incurred during project period by the implementing agencies: the International Centre for Diarrheal Disease Research, Bangladesh and the local Non-government organization Shimantik. Provider costs include all capital and recurrent costs associated with the provision of maternal and newborn care services in primary and secondary level facilities in Sylhet, Bangladesh. Data collection efforts included (1) financial data collection; (2) time-allocation interviews with providers; and (3) extraction of utilization data (including individual patient drug and supply consumption) from the inpatient, outpatient and Emergency Departments for the year 2005. Users' cost data were collected via an independent household survey administered to over 300 women per study arm identified as having a birth outcome in the month prior to the mapping and listing of pregnant women. Users' costs included out-of-pocket expenditures for routine and emergency maternal and newborn care. Cost-effectiveness data analysis followed standardized methodology, emphasizing: (1) the generation of incremental cost-effectiveness ratios (ICERs) for major outcome measures (e.g. cost per neonatal death averted) by study arm; (2) the generation of a Cost Effectiveness Plane (CEP); (3) conduct of uncertainty analyses. Supplementary analyses aimed at achieving objective 2 were conducted through the more in-depth analysis of the users' cost household survey using STATA. Results: Emerging cost-effectiveness and cost-utility findings suggest that the home care community-based intervention arm is highly cost-effective as compared to existing practice. Mean cost estimates on out of pocket expenditures are presented by study arm and service category. Findings additionally suggest that individuals responsible for decision-making about service procurement vary according to preventative and curative care service category. Efforts to manage expenditures related to select maternal and newborn care services relied predominately on the use of household savings as compared to loans, parental contributions and other sources. Conclusions: Study findings are anticipated to contribute to the paucity of data on the cost-effectiveness of strategies for improving maternal and newborn care in low resource settings. Emerging data will also be instrumental in informing efforts to improve maternal and newborn care interventions through reduction of financial barriers to care and the effective targeting of household decision-makers.

Book Disease Control Priorities  Third Edition  Volume 2

Download or read book Disease Control Priorities Third Edition Volume 2 written by Robert Black and published by World Bank Publications. This book was released on 2016-04-11 with total page 419 pages. Available in PDF, EPUB and Kindle. Book excerpt: The evaluation of reproductive, maternal, newborn, and child health (RMNCH) by the Disease Control Priorities, Third Edition (DCP3) focuses on maternal conditions, childhood illness, and malnutrition. Specifically, the chapters address acute illness and undernutrition in children, principally under age 5. It also covers maternal mortality, morbidity, stillbirth, and influences to pregnancy and pre-pregnancy. Volume 3 focuses on developments since the publication of DCP2 and will also include the transition to older childhood, in particular, the overlap and commonality with the child development volume. The DCP3 evaluation of these conditions produced three key findings: 1. There is significant difficulty in measuring the burden of key conditions such as unintended pregnancy, unsafe abortion, nonsexually transmitted infections, infertility, and violence against women. 2. Investments in the continuum of care can have significant returns for improved and equitable access, health, poverty, and health systems. 3. There is a large difference in how RMNCH conditions affect different income groups; investments in RMNCH can lessen the disparity in terms of both health and financial risk.

Book Improving the Bangladesh Health and Family Planning Programme

Download or read book Improving the Bangladesh Health and Family Planning Programme written by and published by International Centre for Diarrhoeal Disease. This book was released on 1997 with total page 208 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Book Population and Family Planning Research  Bangladesh

Download or read book Population and Family Planning Research Bangladesh written by and published by . This book was released on 2002 with total page 158 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Book Incorporating Cost and Cost effectiveness Analysis Into the Development of Safe Motherhood Programs

Download or read book Incorporating Cost and Cost effectiveness Analysis Into the Development of Safe Motherhood Programs written by Larry Forgy and published by World Bank Publications. This book was released on 1992 with total page 41 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Book Decentralized Healthcare Service Delivery System in Bangladesh  An Assessment of the Role of Community Clinics in Promoting Healthcare Services for the Rural Poor

Download or read book Decentralized Healthcare Service Delivery System in Bangladesh An Assessment of the Role of Community Clinics in Promoting Healthcare Services for the Rural Poor written by Md Assraf Seddiky and published by . This book was released on 2016 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt:

Book Fertility  Infant Mortality  and Family Planning in Rural Bangladesh

Download or read book Fertility Infant Mortality and Family Planning in Rural Bangladesh written by John E. Stoeckel and published by Dacca : Oxford University Press, Bangladesh. This book was released on 1973 with total page 170 pages. Available in PDF, EPUB and Kindle. Book excerpt: Report on the research results of an interview survey unndertaken in rural area Bangladesh in 1968 of family planning, infant mortality and fertility trends in comilla-kotwali thana - includes information on the relationship between family planning knowledge and religion, economic and social status (incl. Education, land ownership, occupation, etc.), desired family size, age of women, number of children, etc. Statistical tables.

Book The Role of Family Planning and Targeted Credit Programs in Demographic Change in Bangladesh

Download or read book The Role of Family Planning and Targeted Credit Programs in Demographic Change in Bangladesh written by Shahidur R. Khandker and published by World Bank Publications. This book was released on 1996 with total page 50 pages. Available in PDF, EPUB and Kindle. Book excerpt: World Bank Discussion Paper No. 337. Draws on household survey data from 87 rural villages in Bangladesh to examine the contribution that government family planning programs, as well as other health care interventions, have made toward the recent reduction in fertility by increasing contraceptive use and reducing infant mortality. The paper suggests that the programs have been effective and finds that targeted credit program placement, such as the Grameen Bank and the Bangladesh Rural Advancement Committee (BRAC), contributed to the effort as well.

Book An Economic Appraisal of Alternative Strategies for Delivery of MCH FP Services in Urban Dhaka  Bangladesh

Download or read book An Economic Appraisal of Alternative Strategies for Delivery of MCH FP Services in Urban Dhaka Bangladesh written by Subrata Routh and published by . This book was released on 1999 with total page 28 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Book Diarrhoeal Diseases Research

Download or read book Diarrhoeal Diseases Research written by and published by . This book was released on 1995-03 with total page 104 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Book Reproductive Health in Family Planning

Download or read book Reproductive Health in Family Planning written by and published by . This book was released on 2006 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: The Community-operated Reproductive Health Project (CORHP) is a family planning program in rural Dhaka, Bangladesh. Contrary to focusing on fertility rates, a characteristic of the household contraceptives delivery and family planning advice characteristic of previous family planning programs in Bangladesh, CORHP is a site-based project that emphasizes the comprehensive, rights-based approach rather than fertility reduction. The paper evaluates the effectiveness of CORHP in improving reproductive health. The regression results show that CORHP is more effective in delivering services pertaining to reproductive health, but less so in building awareness. The results also suggest that facilities such as CORHP are adequate substitutes for the household delivery system.

Book Cumulated Index Medicus

Download or read book Cumulated Index Medicus written by and published by . This book was released on 1987 with total page 1196 pages. Available in PDF, EPUB and Kindle. Book excerpt: