Cost of Delivering Child Health Care Through Community Level Health Workers: How Much Extra Does IMNCI Program Cost?

In the setting of a cluster randomized study to assess impact of the Integrated Management of Neonatal and Childhood Illnesses (IMNCI) program in the district of Faridabad in India, we randomly selected auxiliary nurse midwives (ANM), anganwadi workers (AWW) and accredited social health activists (A...

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Bibliographic Details
Published in:Journal of tropical pediatrics (1980) 2013-12, Vol.59 (6), p.489-495
Main Authors: PRINJA, Shankar, MAZUMDER, Sarmila, TANEJA, Sunita, BAHUGUNA, Pankaj, BHANDARI, Nita, MOHAN, Pavitra, HOMBERGH, Henri, KUMAR, Rajesh
Format: Article
Language:English
Subjects:
Biological and medical sciences
Child
Child Health Services - economics
Child Health Services - methods
Child Welfare - economics
Child, Preschool
Community Health Centers - organization & administration
Community Health Workers
Confidence Intervals
Cost-Benefit Analysis - trends
Delivery of Health Care, Integrated - economics
Delivery of Health Care, Integrated - methods
Female
General aspects
Humans
Infant
Male
Medical sciences
Nurse Midwives
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Summary:In the setting of a cluster randomized study to assess impact of the Integrated Management of Neonatal and Childhood Illnesses (IMNCI) program in the district of Faridabad in India, we randomly selected auxiliary nurse midwives (ANM), anganwadi workers (AWW) and accredited social health activists (ASHA) from intervention and control areas to collect cost data using an economic perspective. Bootstrap method was used to estimate 95% confidence interval. The annual per-child cost of providing health services through an ANM, AWW and ASHA is INR 348 (USD 7.7), INR 588 (USD 13.1) and INR 87 (USD 1.9), respectively. The annual per-child incremental cost of delivering IMNCI is INR 124.8 (USD 2.77), INR 26 (USD 0.6) and INR 31 (USD 0.7) at the ANM, AWW and ASHA level, respectively. Implementation of IMNCI imposes additional costs to the health system. A comprehensive economic evaluation of the IMNCI is imperative to estimate the net cost implications in India.
ISSN:0142-6338
1465-3664
DOI:10.1093/tropej/fmt057