在埃塞俄比亚的健康扩展计划投资的回报
Diana Bowser1, Eckhard Kleinau2, Grace Berchtold1
1Heller School for Social Policy and Management, Brandeis University, Waltham, MA, United States of America.
PloS one
|November 27, 2023
概括
埃塞俄比亚健康扩展计划显示出强的投资回报,挽救生命并使弱势群体受益. 这项为卫生服务的人力资源倡议提供了一个可持续的模式,为全球卫生系统带来了显著的经济优势.
科学领域:
- 全球健康 全球健康
- 卫生经济学 卫生经济学
- 公共卫生政策 公共卫生政策
背景情况:
- 自2003年以来,埃塞俄比亚已经部署了超过42,000名健康扩展工作者来提供初级医疗保健.
- 没有任何先前的研究能够量化埃塞俄比亚卫生人力资源投资回报率 (ROI).
- 本研究通过分析埃塞俄比亚健康扩展计划的投资回报率来解决这一差距.
研究的目的:
- 分析埃塞俄比亚健康扩展计划投资回报率.
- 量化一个大规模的人力资源健康倡议的经济效益和可持续性.
- 为其他国家提供适应类似卫生系统重新设计的证据.
主要方法:
- 关于成本和收益的数据从主要 (调查,访谈,焦点小组) 和次要来源 (财务报告,救命工具) 收集.
- 长期投资回报率分析比较了项目成本 (人力,经常性,资本) 和收益 (生产力,股权,赋权,就业).
- 数据从阿姆哈拉,奥罗米亚,提格雷和南方国家民族和人民地区收集.
主要成果:
- 据估计,在2008-2017年间,卫生扩展工作者拯救了约50,700名母亲和儿童的生命.
- 低收入,受教育程度较低和农村妇女不成比例地获得福利.
- 区域ROI在1.27美元至6.64美元之间,整体ROI在1.59美元至3.71美元之间.
结论:
- 埃塞俄比亚健康扩展计划显示出有前途的投资回报率,并成为其他国家的潜在模式.
- 有证据表明,大规模,可持续的卫生系统重新设计可以产生显著的经济效益.
- 环境调整对于将这些发现应用到全球政策和实践中至关重要.
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