Estimating Cost of Implementing Kangaroo Mother Care (KMC) at Different levels of Health System in Addis Ababa
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Date
2017-06
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Addis Abeba Universty
Abstract
Background: Globally it is estimated that 15 million babies are born preterm. Ethiopian neonatal mortality rate in 2015 was 28 per 1000 live births. Kangaroo mother care(KMC) has been proposed one safe and effective solution for preterm and low birth weight infants and can provide a very good alternative for neonatal intensive care unit. This study was conducted to estimate the cost of providing KMC to mother infant dyad and outline the major resource inputs incurred by the health system.
Objective: To estimate the cost of providing kangaroo mother care (KMC) at different levels of health system in Addis Ababa 2017 G.C
Methodology: Facility based cross sectional study design was used to collect cost data and utilization data from facility perspective. Purposive sampling was used to select the facilities providing kangaroo mother care. This study employed accounting method of cost estimation in order to estimate the total cost of implementing kangaroo mother care. The total cost was estimated by summing up the direct cost, indirect cost and intermediate cost.
Result: The average cost providing KMC for mother infant dyad at Tirunesh Beijing General Hospital is estimated to be USD 55.3. The total cost of providing KMC at the TBGH for a total of one month, was estimated to be USD 874.86. The total cost for providing KMC at the Akaki Health Center is estimated to be USD 654.31. Thus unit cost for a follow up for one mother is about USD 65.28.The total cost for providing the KMC post facility follow up, i.e. four visits till the neonate is 28 days post-delivery, is USD 809.71.
Conclusion and recommendation: The total cost for providing kangaroo mother care at Tirunesh Beijing General Hospital and Akaki Health Center was found to be USD 874.86 and
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USD 535.24 respectively. Health professional salary at both the TBGH and Akaki Health center has the highest cost for total cost. Further studies on assessing the health outcome and health impact of KMC by doing further research will help in knowing the return of the money spent.
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Estimating Cost of Implementing Kangaroo Mother Care (KMC)