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Title: Adopting integrated management of childhood illness module at local level in Bangladesh: implications for recurrent costs
Authors: Khan, M. Mahmud
Saha, Kuntal Kumar
Ahmed, Shakil
Keywords: Child Health Services
Costs and Cost Analysis
Prospective Studies
Prescription Fees
Cost Savings
Issue Date: Mar-2002
Citation: J Health Popul Nutr 2002 Mar;20(1):42-50
Abstract: This study estimated the recurrent cost implications of adopting Integrated Management of Childhood Illness (IMCI) at the first-level healthcare facilities in Bangladesh. Data on illnesses of children who sought care either from community health workers (CHWs) or from paramedics over a four-month period were collected in a rural community. A total of 5,505 children sought care. About 75% of symptoms mentioned by mothers were directly related to illnesses that are targeted in the IMCI. Cough and fever represented 64% of all reported complaints. Referral of patients to higher facilities varied from 3% for the paramedics to 77% for the CHWs. Had the IMCI module been followed, proportion of children needing referral should have been around 8%. Significant differences were observed between IMCI-recommended drug treatment and current practice followed by the paramedics. Adoption of IMCI should save about US$ 7 million on drugs alone for the whole country. Proper implementation of IMCI will require employment of additional health workers that will cost about US$ 2.7 million. If the current level of healthcare use is assumed, introduction of IMCI in Bangladesh will save over US$ 4 million
URI: http://hdl.handle.net/123456789/2977
Appears in Collections:Child health research papers

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