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Prenatal nutrition services: a cost analysis.

P L Splett, H M Caldwell, E S Holey

    Journal of the American Dietetic Association
    |February 1, 1987
    PubMed
    Summary

    Analyzing prenatal nutrition services revealed that while per-client costs appear low, the actual cost per successful outcome is significantly higher. This highlights the need for accurate cost and outcome data in maternal health programs.

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    Area of Science:

    • Public Health
    • Health Services Research
    • Nutrition Science

    Background:

    • Limited data exists on the relationship between program costs and quality of prenatal nutrition care.
    • Understanding these costs is crucial for optimizing service delivery and ensuring positive maternal and infant outcomes.

    Purpose of the Study:

    • To conduct a cost analysis of prenatal nutrition services in two urban settings.
    • To examine costs in terms of total, per client, per visit, and per successful outcome.
    • To provide baseline data for quantifying the expenses associated with delivering prenatal nutrition services.

    Main Methods:

    • Employed standard cost-accounting principles for financial assessment.
    • Utilized written quality assurance criteria to define and measure successful outcomes.
    • Audited outcome measures using established procedures to ensure reliability.

    Main Results:

    • Prenatal nutrition services cost $72 per client in a health department setting and $121 per client in a hospital-based program.
    • Analysis indicated that total and per-client costs can be misleading.
    • Costs associated with achieving successful outcomes were substantially higher than initially apparent.

    Conclusions:

    • Accurate cost and outcome data are essential for effective prenatal nutrition service delivery.
    • Cost information can guide service delivery adjustments to improve successful outcomes.
    • This study provides necessary data for future cost-effectiveness and cost-benefit analyses in maternal nutrition programs.

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