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Apunipima baby basket program: a retrospective cost study.

Kim Edmunds1, Andrew Searles2, Johanna Neville3

  • 1Hunter Medical Research Institute (HMRI), Lot 1, Kookaburra Circuit, New Lambton Heights, NSW, 2305, Australia. kim.edmunds@hmri.org.au.

BMC Pregnancy and Childbirth
|November 5, 2016
PubMed
Summary

The Baby Basket program in Cape York cost $874 per participant, improving maternal and child health engagement. This study provides a framework for future economic evaluations of Indigenous health initiatives.

Keywords:
Cost studyEconomic evaluationIndigenousMaternal and child healthRemote

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Area of Science:

  • Public Health
  • Health Economics
  • Indigenous Health

Background:

  • The Baby Basket initiative by Apunipima Cape York Health Council (ACYHC) targets poor maternal and child health (MCH) in remote Cape York, Queensland.
  • Existing Indigenous MCH programs often lack strong evidence bases and sound evaluation methodologies.
  • This study aims to identify resources for the Baby Basket program and assess its economic efficiency.

Purpose of the Study:

  • To determine the resources required to deliver the Baby Basket program in remote Cape York communities.
  • To provide an initial step in the economic evaluation of the Apunipima Baby Basket program.
  • To assess if the program represents an effective use of scarce resources.

Main Methods:

  • A cost study was conducted from the health provider's perspective.
  • Resource use was mapped using a flow diagram based on staff interviews, administrative documents, and surveys.
  • Monetary values in 2013 Australian dollars were applied to resources for one year of program delivery.

Main Results:

  • The total cost was $148,642 for 170 participants, averaging $874 per participant.
  • Costs included provision to remote locations and health worker engagement time.
  • Routinely collected data indicated improved engagement between expectant women and the health service.

Conclusions:

  • The Baby Basket cost study identifies necessary resources for remote delivery and offers a framework for future economic analyses.
  • An investment of $874 per participant was linked to enhanced health service engagement.
  • Improved engagement is a critical factor for positive maternal and child health outcomes.