Cost effectiveness analysis of Performance Based Financing in Maternal and Child Health in Borana Zone
| dc.contributor.advisor | Molla,Meseret (PhD) | |
| dc.contributor.advisor | Melka,Adane(PhD) | |
| dc.contributor.author | Temesgen,Zeweter | |
| dc.date.accessioned | 2026-06-22T16:00:01Z | |
| dc.date.available | 2026-06-22T16:00:01Z | |
| dc.date.issued | 2024-06 | |
| dc.description.abstract | Performance-Based Financing has been adopted as a strategic health financing model across many countries in sub-Saharan Africa and has been implemented in Ethiopia since 2015. The primary objective is to enhance the quality, coverage, and efficiency of healthcare service delivery, particularly in the area of maternal and child health. This study aims to evaluate cost-effectiveness of Performance-Based financing in improving maternal and child health services in the Borana region of Ethiopia. A quasi-experimental research design was employed to compare Performance-Based Financing with traditional Input-Based Financing model. Secondary data on the utilization of maternal and child health services and the costs associated with providing those services were collected from CORDAID, the Oromia Regional Health Bureau, and the District Health Information System, retrospectively for the period between January and December 2022. A stratified random sampling was used to sample health facilities of Borana and the sample size was calculated as 4 hospitals and 35 health centers. Cost-effectiveness was assessed using the Incremental Cost-Effectiveness Ratio, and the health impact was estimated using the Lives Saved Tool, a component of the Spectrum software. The maternal and child health services analyzed in this study included the first and fourth antenatal care visits, skilled birth attendance, and postnatal care. The study found significant increase in the coverage of antenatal care and skilled birth attendance under the Performance-Based Financing model. Compared to the Input-Based Financing model, Performance-Based Financing resulted in an estimated 228 additional lives saved, while Input-Based Financing led to only 10. The cost per disability-adjusted life year averted was 8,735 for Performance-Based Financing and 383 for Input-Based Financing. These results suggest that Performance-Based Financing is a cost-effective strategy for improving maternal and child health service coverage and health outcomes in the Borana region of Ethiopia. | |
| dc.identifier.uri | https://etd.aau.edu.et/handle/123456789/8502 | |
| dc.language.iso | en_US | |
| dc.publisher | Addis Ababa University | |
| dc.subject | Cost Effectiveness Economic Evaluation | |
| dc.subject | Maternal and child health | |
| dc.subject | Performance Based Financing | |
| dc.title | Cost effectiveness analysis of Performance Based Financing in Maternal and Child Health in Borana Zone | |
| dc.type | Thesis |