斯瓦哈拉II的成本,这是尼泊尔一个复杂的扩大规模的多部门营养计划
Esther M Choo1, Christopher G Kemp2, K C Sagun3
1Department of Global Health, University of Washington, Seattle, Washington, USA.
Maternal & child nutrition
|May 5, 2024
概括
多部门营养计划是昂贵的,经济因素,如志愿者时间显著影响总体开支. 这项研究量化了尼泊尔一项大型计划的全部财务和经济成本.
科学领域:
- 公共卫生 公共卫生
- 营养经济学 营养经济学
- 卫生系统研究 卫生系统研究
背景情况:
- 关于扩大多部门营养计划的财务和经济成本的数据有限.
- 了解这些成本对于评估干预价值和负担能力至关重要.
- 社区干预的实施者和参与者的机会成本经常被忽视.
研究的目的:
- 估计Suaahara II (SII) 计划的全部财务和经济成本,这是尼泊尔 (2016-2023) 的一个大型多部门营养计划.
- 提供大规模实施此类计划的成本驱动因素和单位成本的证据.
- 为未来的成本效益分析和营养干预措施的资源分配提供信息.
主要方法:
- 在3.7年的时间里,采用了标准化的混合方法成本计算方法.
- 从国家和地方层面收集了财政支出数据.
- 经济成本通过深入访谈和聚焦小组讨论与四个地区的利益相关者进行了评估.
主要成果:
- 每个地区的平均年度总成本为908,948美元,经济成本占总成本的47%.
- 每年单元成本为每位项目参与者达到132美元,因地理区域而异 (118美元至152美元).
- 人员是最大的投入成本驱动因素 (63%),而社区活动 (29%) 和家庭咨询 (17%) 是主要的活动成本驱动因素.
结论:
- 扩大规模的多部门营养计划带来了巨大的成本,特别是当包括志愿者和参与者的机会成本时.
- 这项研究为未来的经济评估提供了关于大规模营养计划综合成本的关键证据.
- 调查结果强调,需要考虑所有成本组成部分,包括非金融投入,以准确评估计划.
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