Cost-effectiveness of a mentorship and quality improvement intervention to enhance the quality of antenatal care at rural health centers in Rwanda.
Int J Qual Health Care
; 31(5): 359-364, 2019 Jun 01.
Article
en En
| MEDLINE
| ID: mdl-30165628
ABSTRACT
OBJECTIVE:
To estimate cost-effectiveness of Mentorship, Enhanced Supervision for Healthcare and Quality Improvement (MESH-QI) intervention to strengthen the quality of antenatal care at rural health centers in rural Rwanda.DESIGN:
Cost-effectiveness analysis of the MESH-QI intervention using the provider perspective.SETTING:
Kirehe and Rwinkwavu District Hospital catchment areas, Rwanda. INTERVENTION MESH-QI. MAIN OUTCOMEMEASURES:
Incremental cost per antenatal care visit with complete danger sign and vital sign assessments.RESULTS:
The total annual costs of standard antenatal care supervision was 10 777.21 USD at the baseline, whereas the total costs of MESH-QI intervention was 19 656.53 USD. Human resources (salary and benefits) and transport drove the majority of program expenses, (44.8% and 40%, respectively). Other costs included training of mentors (12.9%), data management (6.5%) and equipment (6.5%). The incremental cost per antenatal care visit attributable to MESH-QI with all assessment items completed was 0.70 USD for danger signs and 1.10 USD for vital signs.CONCLUSIONS:
MESH-QI could be an affordable and effective intervention to improve the quality of antenatal care at health centers in low-resource settings. Cost savings would increase if MESH-QI mentors were integrated into the existing healthcare systems and deployed to sites with higher volume of antenatal care visits.Palabras clave
Texto completo:
1
Base de datos:
MEDLINE
Asunto principal:
Atención Prenatal
/
Mentores
/
Análisis Costo-Beneficio
/
Mejoramiento de la Calidad
Tipo de estudio:
Health_economic_evaluation
Límite:
Female
/
Humans
/
Pregnancy
País/Región como asunto:
Africa
Idioma:
En
Revista:
Int J Qual Health Care
Asunto de la revista:
SERVICOS DE SAUDE
Año:
2019
Tipo del documento:
Article
País de afiliación:
Ruanda