Findings from Department of Health Policy Planning and Management Has Provided New Information about Health Planning and Management [Uganda Newborn…

Findings from Department of Health Policy Planning and Management Has Provided New Information about Health Planning and Management [Uganda Newborn Study (UNEST) trial: Community-based maternal and newborn care economic analysis]

By a News Reporter-Staff News Editor at Health & Medicine Week -- Fresh data on Health and Medicine - Health Planning and Management are presented in a new report. According to news reporting out of Kampala, Uganda, by NewsRx editors, research stated, "The Uganda Newborn Study (UNEST) was a two-arm cluster Randomized Control Trial to study the effect of pregnancy and postnatal home visits by local community health workers called 'Village Health Teams' (VHT) coupled with health systems strengthening. To inform programme planning and decision making, additional economic and financial costs of community and facility components were estimated from the perspective of the provider using the Excel-based Cost of Integrating Newborn Care Tool."

Our news journalists obtained a quote from the research from the Department of Health Policy Planning and Management, "Additional costs excluded costs already paid by the government for the routine health system and covered design, set-up, and 1-year implementation phases. Improved efficiency was modelled by reducing the number of VHT per village from two to one and varying the number of home visits/mother, the programme's financial cost at scale was projected (population of 100 000). 92% of expectant mothers (n=1584) in the intervention area were attended by VHTs who performed an average of three home visits per mother. The annualized additional financial cost of the programme was $83 360 of which 4% ($3266) was for design, 24% ($20 026) for set-up and 72% ($60 068) for implementation. 56% ($47 030) went towards health facility strengthening, whereas 44% ($36 330) was spent at the community level. The average cost/mother for the community programme, excluding one-off design costs, amounted to $22.70 and the average cost per home visit was $7.50. The additional cost of the preventive home visit programme staffed by volunteer VHTs represents $1.04 per capita, 1.8% of Uganda's public health expenditure per capita ($59.00). If VHTs were to spend an average of 6 h a week on the programme, costs per mother would drop to $13.00 and cost per home visit to $3.20, in a population of 100 000 at 95% coverage."

According to the news editors, the research concluded: "Additional resources are needed to rollout the government's VHT strategy nationally, maintaining high quality and linkages to quality facility-based care."

For more information on this research see: Uganda Newborn Study (UNEST) trial: Community-based maternal and newborn care economic analysis. Health Policy and Planning, 2017;32(suppl_1):i42-i52. (Oxford University Press - www.oup.com/; Health Policy and Planning - heapol.oxfordjournals.org)

Our news journalists report that additional information may be obtained by contacting E. Ekirapa-Kiracho, Dept. of Health Policy Planning and Management, Makerere University School of Public Health, Kampala, Uganda. Additional authors for this research include D. Barger, C. Mayora, P. Waiswa, J.E. Lawn, J. Kalungi, G. Namazzi, K. Kerber, H. Owen and E. Daviaud (see also Health and Medicine - Health Planning and Management).

The direct object identifier (DOI) for that additional information is: https://doi.org/10.1093/heapol/czw092. This DOI is a link to an online electronic document that is either free or for purchase, and can be your direct source for a journal article and its citation.

Keywords for this news article include: Uganda, Africa, Kampala, Economics, Health and Medicine, Investment and Finance, Health Planning and Management.

Our reports deliver fact-based news of research and discoveries from around the world. Copyright 2017, NewsRx LLC