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- Title
Incremental costs of scaling up kangaroo mother care: Results from implementation research in Ethiopia and India.
- Authors
Garg, Charu C.; Gobezayehu, Abebe Gebremariam; Belew, Mulusew Lijalem; Biru, Tadesse; Guadie, Girma; Alamineh, Lamesgin; Cranmer, John N.; Mariam, Damen Haile; Gurzenda, Susie; Fikre, Addisalem; Estifanos, Abiy Seifu; Chan, Grace J.; Gebriel, Fitsum W.; Tadele, Henok; Tadesse, Birkneh Tilahun; Beyene, Selemawit Asfaw; Hadush, Marta Yemane; Gebregizabher, Fisseha Ashebir; Seyoum, Dawit; Abraha, Tadele Tesfean
- Abstract
Aim: To estimate incremental costs of an implementation model for scaling up Kangaroo Mother Care (KMC) for neonates with birthweight <2000 g. Methods: Seven sites across Ethiopia and India collected data for 2018–19 to calculate incremental recurrent costs (of health worker time, supplies, and operations) and start‐up costs for KMC scale up. The costs were estimated per live newborn <2000 g eligible for KMC identified in the study population. Results: Scaling up KMC in study districts required average incremental costs of US$59 (95% CI US$ 52–67) in Ethiopia and US$72 (95% CI US$ 41–103) in India per eligible newborn in the population. Most of these costs were recurrent; the annualised start‐up costs per eligible newborn ranged from 12%–25% of total costs in Ethiopia and 9%–16% in India. The major cost driver was human resources, followed by initial and recurrent training, supplies, and communications costs. Incremental infrastructure costs were only 2%–6% of total costs in both countries. Most of the costs were for activities at the KMC implementing facility, accounting for 79%–88% of the total costs in Ethiopia and 89%–93% of those in India. Conclusion: The costs for successful scale up of KMC seem affordable but must be included in programme budgets.
- Subjects
ETHIOPIA; INDIA; DIRECT costing; STARTUP costs; BUDGET; RESEARCH implementation; MOTHERS
- Publication
Acta Paediatrica, 2023, Vol 112, p86
- ISSN
0803-5253
- Publication type
Article
- DOI
10.1111/apa.16490