Introduction
Method
Study setting
Health services costs
Annual costs
Health services costs for the provision of one days 6–10 PP visit
Costs at household levels before and after one year intervention by infants date of birth
Household study site
Household cost measurement
Analysis of household costs
Results
Health services cost of PPC
Before | After the interventions | |||||
---|---|---|---|---|---|---|
Jan-June 2013) | July–December 2013 | 2014 | ||||
Amount | % | Amount | % | Amount | % | |
Staff | 238 | 43% | 477 | 45% | 477 | 37% |
Buildings and equipments | 245 | 44% | 491 | 47% | 491 | 38% |
Recurrent | 76 | 13% | 83 | 8% | 338 | 26% |
Total | 559 | 100% | 1050 | 100% | 1306 | 100% |
Primary HFs | Before | After the interventions | ||||
---|---|---|---|---|---|---|
Jan-June 2013 | July–December 2013 | 2014 | ||||
Number of users | Unit cost | Number of users | Unit cost | Number of users | Unit cost | |
Lebda | 228 | 1.3 | 140 | 2.5 | 279 | 3.4 |
Damesma | 29 | 6.1 | 34 | 8,8 | 236 | 3,9 |
Delga | 10 | 16,6 | 10 | 29.1 | 304 | 3.1 |
Kalambaogo | 188 | 1.4 | 108 | 3.1 | 363 | 2.7 |
Basnere | 107 | 2.1 | 107 | 3.1 | 421 | 2.4 |
Namsigui | 33 | 5.4 | 39 | 7.8 | 234 | 4.0 |
Napalgue | 49 | 3.9 | 25 | 11.9 | 269 | 3.5 |
Tangasco | 51 | 3.7 | 37 | 8.2 | 135 | 6.6 |
Sector 1 | 29 | 6.1 | 75 | 4.2 | 333 | 2.9 |
Sector 4 | 287 | 1.1 | 78 | 3.8 | 378 | 2.6 |
Sector 6 | 76 | 2.7 | 61 | 7.2 | 327 | 3.0 |
Sector 7 | 49 | 3.9 | 54 | 5.3 | 287 | 3.3 |
Rural HFs | 812 | 5.1 | 428 | 9.3 | 2241 | 3.7 |
Urban HFs | 441 | 3.4 | 248 | 5.2 | 1325 | 2.9 |
All MOMI HFs | 1253 | 4.5 | 676 | 7.9 | 3566 | 3.4 |
Costs of PPC to households
Household cost | Before | After one year intervention | Tests of proportions (±Std. Err.) | Mean comparison test after versus before the intervention | ||||
---|---|---|---|---|---|---|---|---|
Mean | SE | Mean | SE | Before | After | t (degrees of freedom) | p | |
Medical cost | 0.03 | 0.03 | 0.07 | 0.06 | 1.7 (±16.7) | 33.6 (±28.0) | 0.27 (174) | 0.787 |
Transport cost | 0.15 | 0.06 | 0.36 | 0.04 | 90.8 (±26.9) | 186.3 (±19.7) | 2.55 (255) | 0.011* |
Direct cost (Medical cost + transport cost) | 0.18 | 0.07 | 0.43 | 0.07 | 98.5 (±27.6) | 211.8 (±30.5) | 20.6 (255) | 0.039* |
Indirect | 0.21 | 0.08 | 0.37 | 0.12 | 84.5 (±24.6) | 179.2 (±49.8) | 1.1 (±251) | 0.263 |
Total days 6–10 PP visit Household cost (Direct cost + indirect cost) | 0.39 | 0.12 | 0.81 | 0.16 | 180.0 (±39.8) | 383.3 (±61.2) | 1.9 (258) | 0.057 |
Household cost | Before | After one year intervention | Tests of proportions (±Std. Err.) | Mean comparison test after versus before the intervention | |||||
---|---|---|---|---|---|---|---|---|---|
Mean | SE | Mean | SE | Before | After | t (degrees of freedom) | p | ||
Areas of residence | |||||||||
Rural | Medical cost | 0.00 | 0.00 | 0.02 | 0.02 | 0 | 10.2 (±10.2) | 0.35 (97) | 0.725 |
Transport cost | 0.00 | 0.00 | 0.32 | 0.05 | 34.8 (±34.8) | 169.1(±28.1) | 2.16 (126) | 0.032* | |
Direct cost | 0.00 | 0.00 | 0.34 | 0.05 | 34.8 (±34.8) | 177.7 (±30.2) | 2.14 (126) | 0.034* | |
Indirect | 0.05 | 0.04 | 0.24 | 0.09 | 16.7 (±9.4) | 109.4 (±40.8) | 1.10 (123) | 0.271 | |
Total Day 6–10 PP visit Household cost | 0.05 | 0.04 | 0.59 | 0.11 | 50 (±33.9) | 283 (±48.6) | 2.26 (127) | 0.025* | |
Urban | Medical cost | 0.06 | 0.06 | 0.00 | 0.00 | 29.4 (±29.4) | 0 | −14.92 (52) | 0.141 |
Transport cost | 0.2 | 0.09 | 0.45 | 0.09 | 115 (±37) | 2144 (±32.8) | 19.81 (95) | 0.050* | |
Direct cost | 0.26 | 0.10 | 0.45 | 0.09 | 127.5 (±38.1) | 214 (±32.9) | 17.12 (95) | 0.090 | |
Indirect | 0.34 | 0.13 | 0.76 | 0.43 | 128.4 (±38.5) | 299.6 (±142.6) | 10.07 (95) | 0.316 | |
Total Day 6–10 PP visit Household cost | 0.60 | 0.20 | 1.21 | 0.46 | 252.7 (±58.5) | 499.6 (±148.4) | 13.46 (97) | 0.181 | |
Wealth quintile | |||||||||
Poorest (Q1) | Medical cost | 0.00 | 0.00 | 0.00 | 0.00 | 0 | 0 | (27) | |
Transport cost | 0.08 | 0.08 | 0.34 | 0.10 | 21.4 (±21.4) | 250 (±80.4) | 1.98 (40) | 0.054* | |
Direct cost | 0.08 | 0.08 | 0.34 | 0.10 | 21.4 (±21.4) | 250 (±80.4) | 1.98 (40) | 0.054* | |
Indirect | 0.32 | 0.24 | 0.10 | 0.31 | 116.1 (±71.2) | 218.8 (±116) | 0.60 (40) | 0.554 | |
Total Day 6–10 PP visit Household cost | 0.39 | 0.32 | 0.84 | 0.30 | 137.5 (±91.9) | 452.6 (±132.3) | 1.56 (41) | 0.126 | |
Very poor (Q2) | Medical cost | 0.14 | 0.14 | 0.00 | 0.00 | 71.4 (±71.4) | 0 | −2 (34) | 0.039* |
Transport cost | 0.00 | 0.00 | 0.30 | 0.08 | 33.3 (±33.3) | 136.5 (±33.8) | 1.75 (53) | 0.086 | |
Direct cost | 0.14 | 0.14 | 0.30 | 0.08 | 66.7 (±45.4) | 136.5 (±33.8) | 1.13 (53) | 0.263 | |
Indirect | 0.00 | 0.00 | 0.2931 | 0.14 | 15.6 (±15.6) | 210.5 (±78.6) | 1.59 (52) | 0.116 | |
Total Day 6–10 PP visit Household cost | 0.14 | 0.14 | 0.60 | 0.18 | 78.1 (±44) | 336.5 (±91.2) | 1.75 (54) | 0.085 | |
Poor (Q3) | Medical cost | 0.00 | 0.00 | 0.05 | 0.05 | 0 | 25 (±25) | 0.23 (36) | 0.817 |
Transport cost | 0.00 | 0.00 | 0.389 | 0.08 | 185.7 (±124.3) | 166.7 (±33) | −0.2 (50) | 0.844 | |
Direct cost | 0.00 | 0.00 | 0.44 | 0.10 | 185.7 (±124.3) | 186.7 (±42.4) | 0.008 (50) | 0.993 | |
Indirect | 0.20 | 0.00 | 0.06 | 0.03 | 28.6 (±18.4) | 36.4 (±17.5) | 0.17 (49) | 0.862 | |
Total Day 6–10 PP visit Household cost | 0.2 | 0 | 0.49 | 0.10 | 214.3 (±118.4) | 222.2 (±43.7) | 0.06 (50) | 0.947 | |
Richer (Q4) | Medical cost | 0.00 | 0.00 | 0.00 | 0.00 | 0 | 0 | (34) | |
Transport cost | 0.13 | 0.13 | 0.50 | 0.10 | 107.7 (±80.4) | 221.6 (±43.2) | 1.31 (48) | 0.196 | |
Direct cost | 0.13 | 0.13 | 0.50 | 0.10 | 107.7 (±80.4) | 221.6 (±43.2) | 1.31 (48) | 0.196 | |
Indirect | 0.08 | 0.08 | 0.36 | 0.17 | 38.5 (±26) | 147.2 (±69.2) | 0.93 (47) | 0.357 | |
Total Day 6–10 PP visit Household cost | 0.22 | 0.14 | 0.86 | 0.22 | 146.2 (±98.3) | 364.9 (±90.6) | 1.33 (48) | 0.89 | |
Richest (Q5) | Medical cost | 0.43 | 0.20 | 0.28 | 0.08 | 0 | 133.3 (±133.3) | 0.48 (35) | 0.635 |
Transport cost | 0.43 | 0.20 | 0.28 | 0.08 | 150 (±57.7) | 181 (±39.6) | 0.42 (56) | 0.675 | |
Direct cost | 0.43 | 0.20 | 0.55 | 0.31 | 150 (±57.7) | 276.2 (±110.1) | 0.69 (56) | 0.492 | |
Indirect | 0.42 | 0.16 | 0.78 | 0.53 | 181.6 (±68.6) | 307.5 (±193.3) | 0.42 (55) | 0.677 | |
Total Day 6–10 PP visit Household cost | 0.85 | 0.32 | 1.33 | 0.67 | 322.8 (±93) | 569.1 (±233.5) | 0.66 (57) | 0.512 |
Integration | Before | After one year interventions | Tests of proportions (±Std. Err.) | Mean comparison test after versus before the intervention | |||||
---|---|---|---|---|---|---|---|---|---|
Mean | SE | Mean | SE | Before | After | t (degrees of freedom) | p | ||
At mother PP visit | |||||||||
History taking on infant | Yes | 0.42 | 0.3 | 0.59 | 0.27 | 208.3 (±150.2) | 289.2 (±131.1) | 0.2 (52) | 0.882 |
No | 0.53 | 0.36 | 0.65 | 0.18 | 264.3 (±181.5) | 327.3 (±87.9) | 0.3 (27) | 0.737 | |
Infant physical exam | Yes | 0.52 | 0.24 | 0.76 | 0.27 | 258.7 (±118.3) | 368.1 (±131.3) | 0.3 (91) | 0.741 |
No | 0.3 | 0.13 | 0.87 | 0.12 | 148.5 (±64) | 434.9 (±59) | 2.4 (81) | 0.018* | |
At infant PP visit | |||||||||
History taking on mother | Yes | 0.37 | 0.16 | 0.84 | 0.42 | 158.6 (±61.1) | 398.5 (±177.4) | 0.8 (68) | 0.417 |
No | 0.41 | 0.19 | 0.79 | 0.14 | 188.54 (±50.4) | 377.9 (±54) | 1.9 (188) | 0.053 | |
Mother physical exam | Yes | 0.25 | 0.19 | 1.06 | 0.6 | 104.2 (±81.8) | 493.3 (±279.4) | 0.6 (34) | 0.545 |
No | 0.42 | 0.15 | 0.75 | 0.13 | 187.5 (±43.01) | 363.1 (±51.6) | 2 (222) | 0.048* |