肯尼亚产后家庭访问计划的成本分析:估计有助于政策制定者
Ednah Ojee1, Joseph Odiyo2, Judith Adhiambo1,3
1Department of Pediatrics and Child Health, University of Nairobi, Nairobi, Kenya.
Frontiers in health services
|December 1, 2025
概括
在肯尼亚实施产后家庭访问是具有成本效益的. 社区健康促进者 (CHP) 模式是改善新生儿生存率和支持全民健康覆盖 (UHC) 的最负担得起的选择.
科学领域:
- 公共卫生 公共卫生
- 卫生经济学 卫生经济学
- 医疗保健管理的管理
背景情况:
- 世界卫生组织 (WHO) 和联合国儿童基金会建议进行产后家庭访问,以减少新生儿死亡率,符合可持续发展目标 (SDG) 3.2.
- 肯尼亚的全民健康覆盖 (UHC) 计划旨在通过家庭访问战略改善母亲和新生儿的健康.
- 减少新生儿死亡率是一个关键的全球卫生优先事项,需要具有成本效益的干预措施.
研究的目的:
- 估计在肯尼亚第三级卫生机构启动产后家庭访问计划的成本.
- 为了比较提供产后家庭访问的不同人员模型的成本.
- 为决策者提供一个成本计算工具,以扩大家庭访问计划.
主要方法:
- 使用基于成分的成本计算方法来确定实际和估计的项目成本.
- 从政府作为付款人的角度分析成本.
- 每次访问的成本是根据三个人员模型计算的:社区健康促进者 (CHP),注册护士 (RN) 和组合RN+CHP模型.
主要成果:
- 仅供电联热的模型是最具成本效益的,每次访问费用为24.46美元,总额为27,302美元.
- 只有RN的模型每次访问成本为36.45美元,而组合RN+CHP模型是最昂贵的,每次访问成本为52.10美元.
- 政策制定者倾向于采用"混合"模式 (每周的RN访问,每季度的CHP访问) 以提高可扩展性.
结论:
- 电力发电模型为扩大肯尼亚产后家庭访问提供了最负担得起的方法.
- 该研究为决策者提供了可概括的成本计算工具和公式,以估计计划费用.
- 结果支持肯尼亚的UHC目标,提供了改善孕产妇和新生儿健康结果的成本效益高的策略.
相关概念视频
Methods Of Healthcare Delivery System
3.9K
At the different levels of the healthcare system, we see varying methods of healthcare used. These methods include managed care systems, case management, and primary healthcare.
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
3.9K
Primary Healthcare Services
1.9K
Primary care promotes wellness and prevents disease. This care includes health promotion, education, protection (such as immunizations), early disease screening, and environmental considerations. Settings providing this type of healthcare include physician offices, public health clinics, school nursing, and community health nursing.
In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call...
In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call...
1.9K
Documentation in Long-Term and Home Healthcare Setting
1.4K
Documentation in long-term care facilities and home healthcare settings is crucial for ensuring continuous, coordinated, and comprehensive care for patients. Each setting has its specific documentation processes and tools:
Long-Term Care Facilities
Long-Term Care Facilities
1.4K
Methods of Documentation VI: Case Management Model
839
The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
For example, a patient with a chronic...
For example, a patient with a chronic...
839
Community Based Intervention
260
Community-based interventions in mental health represent a paradigm shift from institution-centered care to treatments embedded within the fabric of local communities. By prioritizing inclusion and leveraging existing societal structures, this approach fosters a supportive environment conducive to addressing mental health challenges while promoting individual dignity and agency.
Foundations of Community Mental Health Programs
Central to the success of community-based interventions is the...
Foundations of Community Mental Health Programs
Central to the success of community-based interventions is the...
260
Specialized Care Centers and Settings-II
1.2K
Rural Health Centers
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
1.2K


