Adopting integrated management of childhood illness module at local level in Bangladesh: implications for recurrent costs.
J Health Popul Nutr
;
2002 Mar; 20(1): 42-50
Article
in English
| IMSEAR
| ID: sea-718
ABSTRACT
This study estimated the recurrent cost implications of adopting Integrated Management of Childhood Illness (IMCI) at the first-level healthcare facilities in Bangladesh. Data on illnesses of children who sought care either from community health workers (CHWs) or from paramedics over a four-month period were collected in a rural community. A total of 5,505 children sought care. About 75% of symptoms mentioned by mothers were directly related to illnesses that are targeted in the IMCI. Cough and fever represented 64% of all reported complaints. Referral of patients to higher facilities varied from 3% for the paramedics to 77% for the CHWs. Had the IMCI module been followed, proportion of children needing referral should have been around 8%. Significant differences were observed between IMCI-recommended drug treatment and current practice followed by the paramedics. Adoption of IMCI should save about US$ 7 million on drugs alone for the whole country. Proper implementation of IMCI will require employment of additional health workers that will cost about US$ 2.7 million. If the current level of healthcare use is assumed, introduction of IMCI in Bangladesh will save over US$ 4 million.
Full text:
Available
Index:
IMSEAR (South-East Asia)
Main subject:
Prescription Fees
/
Bangladesh
/
Female
/
Humans
/
Male
/
Child Health Services
/
Child, Preschool
/
Child Welfare
/
Prospective Studies
/
Surveys and Questionnaires
Type of study:
Health economic evaluation
/
Observational study
Country/Region as subject:
Asia
Language:
English
Journal:
J Health Popul Nutr
Journal subject:
Gastroenterology
/
Nutritional Sciences
/
Public Health
Year:
2002
Type:
Article
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