Document Detail

Adopting integrated management of childhood illness module at local level in Bangladesh: implications for recurrent costs.
MedLine Citation:
PMID:  12022159     Owner:  NLM     Status:  MEDLINE    
This study estimated the recurrent cost implications of adopting Integrated Management of Childhood Illness (IMCI) at the first-level healthcare facilities in Bangladesh. Data on illnesses of children who sought care either from community health workers (CHWs) or from paramedics over a four-month period were collected in a rural community. A total of 5,505 children sought care. About 75% of symptoms mentioned by mothers were directly related to illnesses that are targeted in the IMCI. Cough and fever represented 64% of all reported complaints. Referral of patients to higher facilities varied from 3% for the paramedics to 77% for the CHWs. Had the IMCI module been followed, proportion of children needing referral should have been around 8%. Significant differences were observed between IMCI-recommended drug treatment and current practice followed by the paramedics. Adoption of IMCI should save about US$ 7 million on drugs alone for the whole country. Proper implementation of IMCI will require employment of additional health workers that will cost about US$ 2.7 million. If the current level of healthcare use is assumed, introduction of IMCI in Bangladesh will save over US$ 4 million.
M Mahmud Khan; Kuntal Kumar Saha; Shakil Ahmed
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Journal of health, population, and nutrition     Volume:  20     ISSN:  1606-0997     ISO Abbreviation:  J Health Popul Nutr     Publication Date:  2002 Mar 
Date Detail:
Created Date:  2002-05-22     Completed Date:  2002-08-21     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  100959228     Medline TA:  J Health Popul Nutr     Country:  Bangladesh    
Other Details:
Languages:  eng     Pagination:  42-50     Citation Subset:  IM    
Tulane University, School of Public Health and Tropical Medicine, New Orleans, LA, USA.
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MeSH Terms
Child Health Services / economics*
Child Welfare / economics*
Child, Preschool
Cost Savings
Costs and Cost Analysis
Delivery of Health Care, Integrated / economics*
Prescription Fees
Prospective Studies

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