Cost-effectiveness of family planning and maternal health service delivery strategies in rural Bangladesh
Two alternative service delivery strategies to improve the effectiveness and efficiency of the Bangladesh national Family Planning and Maternal and Child Health programme have been tested: (1) service delivery at cluster spots, a centrally located neighbourhood spot, rather than at the client's...
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| Veröffentlicht in: | The International journal of health planning and management 1999-07, Vol.14 (3), p.219-233 |
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| creator | Levin, Ann Amin, Ahsanul Rahman, Anisur Saifi, Rumana Khuda, Barkat-E Mozumder, Khorshed |
| description | Two alternative service delivery strategies to improve the effectiveness and efficiency of the Bangladesh national Family Planning and Maternal and Child Health programme have been tested: (1) service delivery at cluster spots, a centrally located neighbourhood spot, rather than at the client's home, and (2) increased frequency of outreach clinics merged with immunization spots. The cost‐effectiveness of these strategies was compared with baseline estimates of the cost of providing services.
The data were collected in two rural sites of Bangladesh, Mirsarai Thana of Chittagong and Abhoynagar Thana of Jessore, in August 1996. The results of this analysis indicate that cluster service delivery of contraceptive services in their present form are not more cost‐effective than home delivery services. The cost per birth averted was lower in only one out of three services in each of the field sites.
When the cost‐effectiveness of increasing the frequency of SCs combined with EPI services was examined, the service delivery was found to be more cost‐effective for all services in one thana and for two out of three services in the higher performing thana, Abhoynagar. This implies that the provision of a wider range of services is improving overall cost‐effectiveness. Copyright © 1999 John Wiley & Sons, Ltd. |
| doi_str_mv | 10.1002/(SICI)1099-1751(199907/09)14:3<219::AID-HPM549>3.0.CO;2-N |
| format | Article |
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The data were collected in two rural sites of Bangladesh, Mirsarai Thana of Chittagong and Abhoynagar Thana of Jessore, in August 1996. The results of this analysis indicate that cluster service delivery of contraceptive services in their present form are not more cost‐effective than home delivery services. The cost per birth averted was lower in only one out of three services in each of the field sites.
When the cost‐effectiveness of increasing the frequency of SCs combined with EPI services was examined, the service delivery was found to be more cost‐effective for all services in one thana and for two out of three services in the higher performing thana, Abhoynagar. This implies that the provision of a wider range of services is improving overall cost‐effectiveness. Copyright © 1999 John Wiley & Sons, Ltd.</description><identifier>ISSN: 0749-6753</identifier><identifier>EISSN: 1099-1751</identifier><identifier>DOI: 10.1002/(SICI)1099-1751(199907/09)14:3<219::AID-HPM549>3.0.CO;2-N</identifier><identifier>PMID: 10623190</identifier><identifier>CODEN: IJHMEO</identifier><language>eng</language><publisher>Chichester, UK: John Wiley & Sons, Ltd</publisher><subject>Bangladesh ; Cluster Analysis ; cluster service delivery ; Cost effectiveness ; Cost-Benefit Analysis ; Efficiency, Organizational ; Family planning ; family planning and MCH ; Family Planning Services - economics ; Family Planning Services - organization & administration ; Family Planning Services - standards ; Health administration ; Health Policy ; Health Services Research ; Humans ; Maternal health care ; Maternal Health Services - economics ; Maternal Health Services - organization & administration ; Maternal Health Services - standards ; Population ; Program Evaluation ; Rural Health Services - economics ; Rural Health Services - organization & administration ; Rural Health Services - standards ; Service delivery</subject><ispartof>The International journal of health planning and management, 1999-07, Vol.14 (3), p.219-233</ispartof><rights>Copyright © 1999 John Wiley & Sons, Ltd.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c4429-5554ab37abe9697829284f858b8572325ba390d1d307f1a5a0d9afff85db82433</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1002%2F%28SICI%291099-1751%28199907%2F09%2914%3A3%3C219%3A%3AAID-HPM549%3E3.0.CO%3B2-N$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2F%28SICI%291099-1751%28199907%2F09%2914%3A3%3C219%3A%3AAID-HPM549%3E3.0.CO%3B2-N$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1417,27924,27925,31000,45574,45575</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/10623190$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Levin, Ann</creatorcontrib><creatorcontrib>Amin, Ahsanul</creatorcontrib><creatorcontrib>Rahman, Anisur</creatorcontrib><creatorcontrib>Saifi, Rumana</creatorcontrib><creatorcontrib>Khuda, Barkat-E</creatorcontrib><creatorcontrib>Mozumder, Khorshed</creatorcontrib><title>Cost-effectiveness of family planning and maternal health service delivery strategies in rural Bangladesh</title><title>The International journal of health planning and management</title><addtitle>Int. J. Health Plann. Mgmt</addtitle><description>Two alternative service delivery strategies to improve the effectiveness and efficiency of the Bangladesh national Family Planning and Maternal and Child Health programme have been tested: (1) service delivery at cluster spots, a centrally located neighbourhood spot, rather than at the client's home, and (2) increased frequency of outreach clinics merged with immunization spots. The cost‐effectiveness of these strategies was compared with baseline estimates of the cost of providing services.
The data were collected in two rural sites of Bangladesh, Mirsarai Thana of Chittagong and Abhoynagar Thana of Jessore, in August 1996. The results of this analysis indicate that cluster service delivery of contraceptive services in their present form are not more cost‐effective than home delivery services. The cost per birth averted was lower in only one out of three services in each of the field sites.
When the cost‐effectiveness of increasing the frequency of SCs combined with EPI services was examined, the service delivery was found to be more cost‐effective for all services in one thana and for two out of three services in the higher performing thana, Abhoynagar. This implies that the provision of a wider range of services is improving overall cost‐effectiveness. Copyright © 1999 John Wiley & Sons, Ltd.</description><subject>Bangladesh</subject><subject>Cluster Analysis</subject><subject>cluster service delivery</subject><subject>Cost effectiveness</subject><subject>Cost-Benefit Analysis</subject><subject>Efficiency, Organizational</subject><subject>Family planning</subject><subject>family planning and MCH</subject><subject>Family Planning Services - economics</subject><subject>Family Planning Services - organization & administration</subject><subject>Family Planning Services - standards</subject><subject>Health administration</subject><subject>Health Policy</subject><subject>Health Services Research</subject><subject>Humans</subject><subject>Maternal health care</subject><subject>Maternal Health Services - economics</subject><subject>Maternal Health Services - organization & administration</subject><subject>Maternal Health Services - standards</subject><subject>Population</subject><subject>Program Evaluation</subject><subject>Rural Health Services - economics</subject><subject>Rural Health Services - organization & administration</subject><subject>Rural Health Services - standards</subject><subject>Service delivery</subject><issn>0749-6753</issn><issn>1099-1751</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1999</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>7QJ</sourceid><recordid>eNqFkV1v0zAUhiMEYmXwF5Cv0HaRzh9xHBeE1AXYiroW8TnExZGT2K0hH8VOB_33uEo1IYG0K8vHz3nf4_NG0ZTgMcGYnp18mOWzU4KljIng5IRIKbE4w_KUJBP2ghI5mUxnr-LLd1c8kS_ZGI_z5XMaL-5Fo9uu-9EIi0TGqeDsKHrk_XeMwxuRD6MjglPKiMSjyOad72NtjC57e6Nb7T3qDDKqsfUObWrVtrZdIdVWqFG9dq2q0Vqrul8jr92NLTWqdB063Q753gVkZbVHtkVu6wJ7rtpVrSrt14-jB0bVXj85nMfRpzevP-aX8Xx5Mcun87hMEipjznmiCiZUoWUqRUYlzRKT8azIuKCM8kIxiStSMSwMUVzhSipjAlEVGU0YO46eDbob1_3cat9DY32p6_AV3W09pJKylFBxJ8hFykTGaAC_DmDpOu-dNrBxtlFuBwTDPjCAfWCwXz3sVw9DYIDDNQEGITCAEBgMgYUKhnwJFBZB--lhiG3R6Oov5SGhAHwbgF-21rt_nO82_q_voRLU40Hd-l7_vlVX7gekggkOXxYX8Pnt-fX766t5GPcPQ-vCvg</recordid><startdate>199907</startdate><enddate>199907</enddate><creator>Levin, Ann</creator><creator>Amin, Ahsanul</creator><creator>Rahman, Anisur</creator><creator>Saifi, Rumana</creator><creator>Khuda, Barkat-E</creator><creator>Mozumder, Khorshed</creator><general>John Wiley & Sons, Ltd</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QJ</scope><scope>7X8</scope></search><sort><creationdate>199907</creationdate><title>Cost-effectiveness of family planning and maternal health service delivery strategies in rural Bangladesh</title><author>Levin, Ann ; Amin, Ahsanul ; Rahman, Anisur ; Saifi, Rumana ; Khuda, Barkat-E ; Mozumder, Khorshed</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4429-5554ab37abe9697829284f858b8572325ba390d1d307f1a5a0d9afff85db82433</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1999</creationdate><topic>Bangladesh</topic><topic>Cluster Analysis</topic><topic>cluster service delivery</topic><topic>Cost effectiveness</topic><topic>Cost-Benefit Analysis</topic><topic>Efficiency, Organizational</topic><topic>Family planning</topic><topic>family planning and MCH</topic><topic>Family Planning Services - economics</topic><topic>Family Planning Services - organization & administration</topic><topic>Family Planning Services - standards</topic><topic>Health administration</topic><topic>Health Policy</topic><topic>Health Services Research</topic><topic>Humans</topic><topic>Maternal health care</topic><topic>Maternal Health Services - economics</topic><topic>Maternal Health Services - organization & administration</topic><topic>Maternal Health Services - standards</topic><topic>Population</topic><topic>Program Evaluation</topic><topic>Rural Health Services - economics</topic><topic>Rural Health Services - organization & administration</topic><topic>Rural Health Services - standards</topic><topic>Service delivery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Levin, Ann</creatorcontrib><creatorcontrib>Amin, Ahsanul</creatorcontrib><creatorcontrib>Rahman, Anisur</creatorcontrib><creatorcontrib>Saifi, Rumana</creatorcontrib><creatorcontrib>Khuda, Barkat-E</creatorcontrib><creatorcontrib>Mozumder, Khorshed</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>MEDLINE - Academic</collection><jtitle>The International journal of health planning and management</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Levin, Ann</au><au>Amin, Ahsanul</au><au>Rahman, Anisur</au><au>Saifi, Rumana</au><au>Khuda, Barkat-E</au><au>Mozumder, Khorshed</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Cost-effectiveness of family planning and maternal health service delivery strategies in rural Bangladesh</atitle><jtitle>The International journal of health planning and management</jtitle><addtitle>Int. J. Health Plann. Mgmt</addtitle><date>1999-07</date><risdate>1999</risdate><volume>14</volume><issue>3</issue><spage>219</spage><epage>233</epage><pages>219-233</pages><issn>0749-6753</issn><eissn>1099-1751</eissn><coden>IJHMEO</coden><abstract>Two alternative service delivery strategies to improve the effectiveness and efficiency of the Bangladesh national Family Planning and Maternal and Child Health programme have been tested: (1) service delivery at cluster spots, a centrally located neighbourhood spot, rather than at the client's home, and (2) increased frequency of outreach clinics merged with immunization spots. The cost‐effectiveness of these strategies was compared with baseline estimates of the cost of providing services.
The data were collected in two rural sites of Bangladesh, Mirsarai Thana of Chittagong and Abhoynagar Thana of Jessore, in August 1996. The results of this analysis indicate that cluster service delivery of contraceptive services in their present form are not more cost‐effective than home delivery services. The cost per birth averted was lower in only one out of three services in each of the field sites.
When the cost‐effectiveness of increasing the frequency of SCs combined with EPI services was examined, the service delivery was found to be more cost‐effective for all services in one thana and for two out of three services in the higher performing thana, Abhoynagar. This implies that the provision of a wider range of services is improving overall cost‐effectiveness. Copyright © 1999 John Wiley & Sons, Ltd.</abstract><cop>Chichester, UK</cop><pub>John Wiley & Sons, Ltd</pub><pmid>10623190</pmid><doi>10.1002/(SICI)1099-1751(199907/09)14:3<219::AID-HPM549>3.0.CO;2-N</doi><tpages>15</tpages></addata></record> |
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| ispartof | The International journal of health planning and management, 1999-07, Vol.14 (3), p.219-233 |
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| source | MEDLINE; Access via Wiley Online Library; Applied Social Sciences Index & Abstracts (ASSIA) |
| subjects | Bangladesh Cluster Analysis cluster service delivery Cost effectiveness Cost-Benefit Analysis Efficiency, Organizational Family planning family planning and MCH Family Planning Services - economics Family Planning Services - organization & administration Family Planning Services - standards Health administration Health Policy Health Services Research Humans Maternal health care Maternal Health Services - economics Maternal Health Services - organization & administration Maternal Health Services - standards Population Program Evaluation Rural Health Services - economics Rural Health Services - organization & administration Rural Health Services - standards Service delivery |
| title | Cost-effectiveness of family planning and maternal health service delivery strategies in rural Bangladesh |
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