Scale Matters: A Cost-Outcome Analysis of an m-Health Intervention in Malawi.
Telemed J E Health
; 22(4): 317-24, 2016 Apr.
Article
em En
| MEDLINE
| ID: mdl-26348994
ABSTRACT
BACKGROUND:
The primary objectives of this study are to determine cost per user and cost per contact with users of a mobile health (m-health) intervention. The secondary objectives are to map costs to changes in maternal, newborn, and child health (MNCH) and to estimate costs of alternate implementation and usage scenarios. MATERIALS ANDMETHODS:
A base cost model, constructed from recurrent costs and selected capital costs, was used to estimate average cost per user and per contact of an m-health intervention. This model was mapped to statistically significant changes in MNCH intermediate outcomes to determine the cost of improvements in MNCH indicators. Sensitivity analyses were conducted to estimate costs in alternate scenarios.RESULTS:
The m-health intervention cost $29.33 per user and $4.33 per successful contact. The average cost for each user experiencing a change in an MNCH indicator ranged from $67 to $355. The sensitivity analyses showed that cost per user could be reduced by 48% if the service were to operate at full capacity.CONCLUSIONS:
We believe that the intervention, operating at scale, has potential to be a cost-effective method for improving maternal and child health indicators.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Conhecimentos, Atitudes e Prática em Saúde
/
Saúde da Criança
/
Telemedicina
/
Serviços de Saúde Materno-Infantil
/
Saúde Materna
Tipo de estudo:
Health_economic_evaluation
Limite:
Child, preschool
/
Female
/
Humans
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Infant
/
Newborn
/
Pregnancy
País/Região como assunto:
Africa
Idioma:
En
Revista:
Telemed J E Health
Assunto da revista:
INFORMATICA MEDICA
/
SERVICOS DE SAUDE
Ano de publicação:
2016
Tipo de documento:
Article