Cost Estimates of Postnatal Care in Public Primary Care Facilities in Negeri Sembilan, Malaysia
Postnatal care (PNC) in Malaysia is believed to have played a role in reducing maternal and child mortality. A pilot study was thereby conducted to estimate the cost of PNC in public primary care facilities in Negeri Sembilan from the perspective of healthcare providers. This study employed a cross-...
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| Veröffentlicht in: | The Malaysian journal of medical sciences 2022-10, Vol.29 (5), p.93-104 |
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| container_title | The Malaysian journal of medical sciences |
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| creator | Aminuddin, Farhana Bahari, Mohd Shahri Mohd Nor Sham Kunusagaran, Mohd Shaiful Jefri Zaimi, Nur Amalina Shahari, Mohd Ridzwan Mohd Hassan, Nor Zam Azihan |
| description | Postnatal care (PNC) in Malaysia is believed to have played a role in reducing maternal and child mortality. A pilot study was thereby conducted to estimate the cost of PNC in public primary care facilities in Negeri Sembilan from the perspective of healthcare providers.
This study employed a cross-sectional design that involved six public primary care facilities in Negeri Sembilan, Malaysia. The PNC-related costs data were collected between May and July 2017, utilising cost data for the year 2016 and involving 287 eligible mothers. The PNC costs were calculated using mixed top-down and activity-based costing (ABC) approaches.
The mean cost of PNC per patient was RM165.65 (median, RM167.12). Personnel cost was the main cost driver for PNC, which accounted for the most significant proportion of the total cost at 94.2%. Education level, type of health facilities and postnatal visits were positively associated with the total PNC cost.
This study highlighted the average cost of PNC in the public primary care facilities in Negeri Sembilan. The cost of PNC was revealed to be primarily driven by personnel cost. The findings of this pilot study could add to the evidence base of PNC and serve as a vital reference for improving future estimates to better allocate scarce resources. |
| doi_str_mv | 10.21315/mjms2022.29.5.10 |
| format | Article |
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This study employed a cross-sectional design that involved six public primary care facilities in Negeri Sembilan, Malaysia. The PNC-related costs data were collected between May and July 2017, utilising cost data for the year 2016 and involving 287 eligible mothers. The PNC costs were calculated using mixed top-down and activity-based costing (ABC) approaches.
The mean cost of PNC per patient was RM165.65 (median, RM167.12). Personnel cost was the main cost driver for PNC, which accounted for the most significant proportion of the total cost at 94.2%. Education level, type of health facilities and postnatal visits were positively associated with the total PNC cost.
This study highlighted the average cost of PNC in the public primary care facilities in Negeri Sembilan. The cost of PNC was revealed to be primarily driven by personnel cost. The findings of this pilot study could add to the evidence base of PNC and serve as a vital reference for improving future estimates to better allocate scarce resources.</description><identifier>ISSN: 1394-195X</identifier><identifier>EISSN: 2180-4303</identifier><identifier>DOI: 10.21315/mjms2022.29.5.10</identifier><identifier>PMID: 36474536</identifier><language>eng</language><publisher>Malaysia: Universiti Sains Malaysia Press</publisher><subject>Activity based costing ; Capital costs ; Child mortality ; Childbirth & labor ; Childrens health ; Cost estimates ; Expenditures ; Health facilities ; Health services ; Maternal & child health ; Maternal mortality ; Medical equipment ; Original ; Postpartum period ; Prenatal care ; Primary care ; Sample size</subject><ispartof>The Malaysian journal of medical sciences, 2022-10, Vol.29 (5), p.93-104</ispartof><rights>Penerbit Universiti Sains Malaysia, 2022.</rights><rights>Copyright Universiti Sains Malaysia Press Sep/Oct 2022</rights><rights>Penerbit Universiti Sains Malaysia, 2022 2022</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c357t-b4bda6330e1cd69fbfdfb91a98516d4f9457b88545e59ca6f1deca5221dbc8f03</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC9681001/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC9681001/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,860,881,27901,27902,53766,53768</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/36474536$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Aminuddin, Farhana</creatorcontrib><creatorcontrib>Bahari, Mohd Shahri</creatorcontrib><creatorcontrib>Mohd Nor Sham Kunusagaran, Mohd Shaiful Jefri</creatorcontrib><creatorcontrib>Zaimi, Nur Amalina</creatorcontrib><creatorcontrib>Shahari, Mohd Ridzwan</creatorcontrib><creatorcontrib>Mohd Hassan, Nor Zam Azihan</creatorcontrib><creatorcontrib>Medical Development Division, Ministry of Health Malaysia, Complex E, Federal Government Administrative Centre, Putrajaya, Malaysia</creatorcontrib><creatorcontrib>Centre of Health Economics Research, Institute for Health Systems Research, National Institutes of Health Malaysia, Setia Alam, Selangor, Malaysia</creatorcontrib><title>Cost Estimates of Postnatal Care in Public Primary Care Facilities in Negeri Sembilan, Malaysia</title><title>The Malaysian journal of medical sciences</title><addtitle>Malays J Med Sci</addtitle><description>Postnatal care (PNC) in Malaysia is believed to have played a role in reducing maternal and child mortality. A pilot study was thereby conducted to estimate the cost of PNC in public primary care facilities in Negeri Sembilan from the perspective of healthcare providers.
This study employed a cross-sectional design that involved six public primary care facilities in Negeri Sembilan, Malaysia. The PNC-related costs data were collected between May and July 2017, utilising cost data for the year 2016 and involving 287 eligible mothers. The PNC costs were calculated using mixed top-down and activity-based costing (ABC) approaches.
The mean cost of PNC per patient was RM165.65 (median, RM167.12). Personnel cost was the main cost driver for PNC, which accounted for the most significant proportion of the total cost at 94.2%. Education level, type of health facilities and postnatal visits were positively associated with the total PNC cost.
This study highlighted the average cost of PNC in the public primary care facilities in Negeri Sembilan. The cost of PNC was revealed to be primarily driven by personnel cost. The findings of this pilot study could add to the evidence base of PNC and serve as a vital reference for improving future estimates to better allocate scarce resources.</description><subject>Activity based costing</subject><subject>Capital costs</subject><subject>Child mortality</subject><subject>Childbirth & labor</subject><subject>Childrens health</subject><subject>Cost estimates</subject><subject>Expenditures</subject><subject>Health facilities</subject><subject>Health services</subject><subject>Maternal & child health</subject><subject>Maternal mortality</subject><subject>Medical equipment</subject><subject>Original</subject><subject>Postpartum period</subject><subject>Prenatal care</subject><subject>Primary care</subject><subject>Sample size</subject><issn>1394-195X</issn><issn>2180-4303</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>BENPR</sourceid><recordid>eNpdkUlLBDEUhIMoOi4_wIsEvHiwx-zduQgyuIHLgAreQpJONEMvmnQL_nuDo6KeApWvivdeAbCL0ZRgivlRu2gTQYRMiZzyKUYrYEJwhQpGEV0FE0wlK7DkjxtgM6UFQpQTUa2DDSpYyTgVE6BmfRrgaRpCqweXYO_hPCudHnQDZzo6GDo4H00TLJzHDMX3pXymbWjCELInEzfuycUA71xrQqO7Q3itG_2egt4Ga143ye18vVvg4ez0fnZRXN2eX85OrgpLeTkUhplaC0qRw7YW0htfeyOxlhXHomZeMl6aquKMOy6tFh7XzmpOCK6NrTyiW-B4mfsymtbV1nVD1I16WY6seh3U358uPKun_k1JUWGEcA44-AqI_evo0qDakKxr8jauH5MiJadEIiZkRvf_oYt-jF1eL1P55KVgTGQKLykb-5Si8z_DYKQ-61Pf9SkiFc9y9uz93uLH8d0X_QCxd5f8</recordid><startdate>20221001</startdate><enddate>20221001</enddate><creator>Aminuddin, Farhana</creator><creator>Bahari, Mohd Shahri</creator><creator>Mohd Nor Sham Kunusagaran, Mohd Shaiful Jefri</creator><creator>Zaimi, Nur Amalina</creator><creator>Shahari, Mohd Ridzwan</creator><creator>Mohd Hassan, Nor Zam Azihan</creator><general>Universiti Sains Malaysia Press</general><general>Penerbit Universiti Sains Malaysia</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>BVBZV</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20221001</creationdate><title>Cost Estimates of Postnatal Care in Public Primary Care Facilities in Negeri Sembilan, Malaysia</title><author>Aminuddin, Farhana ; Bahari, Mohd Shahri ; Mohd Nor Sham Kunusagaran, Mohd Shaiful Jefri ; Zaimi, Nur Amalina ; Shahari, Mohd Ridzwan ; Mohd Hassan, Nor Zam Azihan</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c357t-b4bda6330e1cd69fbfdfb91a98516d4f9457b88545e59ca6f1deca5221dbc8f03</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Activity based costing</topic><topic>Capital costs</topic><topic>Child mortality</topic><topic>Childbirth & labor</topic><topic>Childrens health</topic><topic>Cost estimates</topic><topic>Expenditures</topic><topic>Health facilities</topic><topic>Health services</topic><topic>Maternal & child health</topic><topic>Maternal mortality</topic><topic>Medical equipment</topic><topic>Original</topic><topic>Postpartum period</topic><topic>Prenatal care</topic><topic>Primary care</topic><topic>Sample size</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Aminuddin, Farhana</creatorcontrib><creatorcontrib>Bahari, Mohd Shahri</creatorcontrib><creatorcontrib>Mohd Nor Sham Kunusagaran, Mohd Shaiful Jefri</creatorcontrib><creatorcontrib>Zaimi, Nur Amalina</creatorcontrib><creatorcontrib>Shahari, Mohd Ridzwan</creatorcontrib><creatorcontrib>Mohd Hassan, Nor Zam Azihan</creatorcontrib><creatorcontrib>Medical Development Division, Ministry of Health Malaysia, Complex E, Federal Government Administrative Centre, Putrajaya, Malaysia</creatorcontrib><creatorcontrib>Centre of Health Economics Research, Institute for Health Systems Research, National Institutes of Health Malaysia, Setia Alam, Selangor, Malaysia</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database (ProQuest)</collection><collection>Health & Medical Collection (Proquest)</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central</collection><collection>ProQuest Central</collection><collection>East & South Asia Database</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>The Malaysian journal of medical sciences</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Aminuddin, Farhana</au><au>Bahari, Mohd Shahri</au><au>Mohd Nor Sham Kunusagaran, Mohd Shaiful Jefri</au><au>Zaimi, Nur Amalina</au><au>Shahari, Mohd Ridzwan</au><au>Mohd Hassan, Nor Zam Azihan</au><aucorp>Medical Development Division, Ministry of Health Malaysia, Complex E, Federal Government Administrative Centre, Putrajaya, Malaysia</aucorp><aucorp>Centre of Health Economics Research, Institute for Health Systems Research, National Institutes of Health Malaysia, Setia Alam, Selangor, Malaysia</aucorp><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Cost Estimates of Postnatal Care in Public Primary Care Facilities in Negeri Sembilan, Malaysia</atitle><jtitle>The Malaysian journal of medical sciences</jtitle><addtitle>Malays J Med Sci</addtitle><date>2022-10-01</date><risdate>2022</risdate><volume>29</volume><issue>5</issue><spage>93</spage><epage>104</epage><pages>93-104</pages><issn>1394-195X</issn><eissn>2180-4303</eissn><abstract>Postnatal care (PNC) in Malaysia is believed to have played a role in reducing maternal and child mortality. A pilot study was thereby conducted to estimate the cost of PNC in public primary care facilities in Negeri Sembilan from the perspective of healthcare providers.
This study employed a cross-sectional design that involved six public primary care facilities in Negeri Sembilan, Malaysia. The PNC-related costs data were collected between May and July 2017, utilising cost data for the year 2016 and involving 287 eligible mothers. The PNC costs were calculated using mixed top-down and activity-based costing (ABC) approaches.
The mean cost of PNC per patient was RM165.65 (median, RM167.12). Personnel cost was the main cost driver for PNC, which accounted for the most significant proportion of the total cost at 94.2%. Education level, type of health facilities and postnatal visits were positively associated with the total PNC cost.
This study highlighted the average cost of PNC in the public primary care facilities in Negeri Sembilan. The cost of PNC was revealed to be primarily driven by personnel cost. The findings of this pilot study could add to the evidence base of PNC and serve as a vital reference for improving future estimates to better allocate scarce resources.</abstract><cop>Malaysia</cop><pub>Universiti Sains Malaysia Press</pub><pmid>36474536</pmid><doi>10.21315/mjms2022.29.5.10</doi><tpages>12</tpages><oa>free_for_read</oa></addata></record> |
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| identifier | ISSN: 1394-195X |
| ispartof | The Malaysian journal of medical sciences, 2022-10, Vol.29 (5), p.93-104 |
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| source | Bioline International; EZB Free E-Journals; DOAJ Directory of Open Access Journals; PubMed Central |
| subjects | Activity based costing Capital costs Child mortality Childbirth & labor Childrens health Cost estimates Expenditures Health facilities Health services Maternal & child health Maternal mortality Medical equipment Original Postpartum period Prenatal care Primary care Sample size |
| title | Cost Estimates of Postnatal Care in Public Primary Care Facilities in Negeri Sembilan, Malaysia |
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