Costs and Budget Impact of Scaling-Up Parenting for Lifelong Health for Young Children Program in Thailand

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Hsu Myat Mon1, Wilaiwan Pongpaew1, Nopphol Witvorapong2

  • 1Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand.

Child: Care, Health and Development
|December 18, 2025
PubMed

Insights

Scaling up the Parenting for Lifelong Health for Young Children (PLH-YC) program in Thailand shows high costs. Modifications and stakeholder support are crucial for financial feasibility and wider adoption to prevent child maltreatment.

Area of Science:

  • Public Health Interventions
  • Child Maltreatment Prevention
  • Health Economics

Background:

  • Childhood violence has severe health, societal, and economic consequences.
  • The Parenting for Lifelong Health for Young Children (PLH-YC) program effectively reduces child maltreatment in Thailand for children aged 2-9.
  • Assessing scale-up costs is vital for program sustainability.

Purpose of the Study:

  • To evaluate the costs and budget implications of scaling up the PLH-YC program in Thailand.
  • To analyze cost variations across different implementation scenarios.

Main Methods:

  • Utilized a bottom-up costing approach.
  • Incorporated data from document review, web searches, and interviews.
  • Examined costs from both provider and societal perspectives.

Main Results:

  • Societal cost per caregiver: $262-$300 USD.
  • Provider cost per caregiver trained: $82-$195 USD.
  • Estimated annual budget impact for nationwide scale-up: $50-$76 million USD.

Conclusions:

  • Scaling up PLH-YC involves significant but variable unit costs.
  • High budget requirements necessitate exploring cost-saving modifications like reduced sessions or hybrid models.
  • Securing political commitment and stakeholder financial support is essential for successful program adoption and expansion.
Abstract

Keywords:
Parenting for Lifelong HealthThailandbudget impact analysiscosting analysisviolence against children

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