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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Incremental costs of scaling up kangaroo mother care: Results from implementation research in Ethiopia and India
Acta Paediatrica, International Journal of Paediatrics, Volume 112, No. S473, Year 2023
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Description
Aim: To estimate incremental costs of an implementation model for scaling up Kangaroo Mother Care (KMC) for neonates with birthweight <2000 g. Methods: Seven sites across Ethiopia and India collected data for 2018–19 to calculate incremental recurrent costs (of health worker time, supplies, and operations) and start-up costs for KMC scale up. The costs were estimated per live newborn <2000 g eligible for KMC identified in the study population. Results: Scaling up KMC in study districts required average incremental costs of US$59 (95% CI US$ 52–67) in Ethiopia and US$72 (95% CI US$ 41–103) in India per eligible newborn in the population. Most of these costs were recurrent; the annualised start-up costs per eligible newborn ranged from 12%–25% of total costs in Ethiopia and 9%–16% in India. The major cost driver was human resources, followed by initial and recurrent training, supplies, and communications costs. Incremental infrastructure costs were only 2%–6% of total costs in both countries. Most of the costs were for activities at the KMC implementing facility, accounting for 79%–88% of the total costs in Ethiopia and 89%–93% of those in India. Conclusion: The costs for successful scale up of KMC seem affordable but must be included in programme budgets. © 2022 World Health Organization; licensed by Foundation Acta Paediatrica. Acta Paediatrica published by John Wiley & Sons Ltd on behalf of Foundation Acta Paediatrica.
Authors & Co-Authors
Garg, Charu C.
Unknown Affiliation
Gebremariam, Abebe
Unknown Affiliation
Belew, Mulusew Lijalem
Unknown Affiliation
Alamineh, Lamesgin
Unknown Affiliation
Cranmer, John N.
Unknown Affiliation
Mariam, Damen Haile
Unknown Affiliation
Fikre, Addisalem
Unknown Affiliation
Estifanos, Abiy Seifu
Unknown Affiliation
Chan, Grace Jean Yee
Unknown Affiliation
Gebriel, Fitsum W.
Unknown Affiliation
Tadele, Henok Dangiso
Unknown Affiliation
Tadesse, Birkneh Tilahun
Unknown Affiliation
Beyene, Selemawit Asfaw
Unknown Affiliation
Hadush, Marta Yemane
Unknown Affiliation
Gebregizabher, Fisseha Ashebir
Unknown Affiliation
Seyoum, Dawit
Unknown Affiliation
Abraha, Tadele Tesfean
Unknown Affiliation
Amare, Samson Yohannes
Unknown Affiliation
Abay, Tedros Hailu
Unknown Affiliation
Medhanyie, Araya Abraha
Unknown Affiliation
Jadaun, Arun Singh
Unknown Affiliation
Dalpath, Suresh Kumar
Unknown Affiliation
Trikha, Sonia
Unknown Affiliation
Mazumder, Sarmila
Unknown Affiliation
Bhandari, Nita R.
Unknown Affiliation
Fathima, Farah Naaz
Unknown Affiliation
Rao Pn, Suman
Unknown Affiliation
Mony, Prem Kumar
Unknown Affiliation
Kar, Arin
Unknown Affiliation
Jayanna, Krishnamurthy
Unknown Affiliation
Gowda, Prabhu Deva
Unknown Affiliation
Kumar, Aarti
Unknown Affiliation
Krishna, Raghav
Unknown Affiliation
Kumar, Alok K.Hemant
Unknown Affiliation
Kumar, Vishwajeet U.
Unknown Affiliation
Portela, Anayda Gerarda
Unknown Affiliation
Martines, José Carlos
Unknown Affiliation
Bahl, Rajiv
Unknown Affiliation
Statistics
Citations: 3
Authors: 38
Identifiers
Doi:
10.1111/apa.16490
ISSN:
08035253
Research Areas
Health System And Policy
Maternal And Child Health
Study Design
Cross Sectional Study
Study Locations
Ethiopia