| Adopting integrated management of childhood illness module at local level in Bangladesh: implications for recurrent costs. | |
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MedLine Citation:
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PMID: 12022159 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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M Mahmud Khan; Kuntal Kumar Saha; Shakil Ahmed |
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Publication Detail:
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Type: Journal Article; Research Support, Non-U.S. Gov't |
Journal Detail:
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Title: Journal of health, population, and nutrition Volume: 20 ISSN: 1606-0997 ISO Abbreviation: J Health Popul Nutr Publication Date: 2002 Mar |
Date Detail:
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Created Date: 2002-05-22 Completed Date: 2002-08-21 Revised Date: 2006-11-15 |
Medline Journal Info:
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Nlm Unique ID: 100959228 Medline TA: J Health Popul Nutr Country: Bangladesh |
Other Details:
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Languages: eng Pagination: 42-50 Citation Subset: IM |
Affiliation:
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Tulane University, School of Public Health and Tropical Medicine, New Orleans, LA, USA. khan@tulane.edu |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Bangladesh Child Health Services / economics* Child Welfare / economics* Child, Preschool Cost Savings Costs and Cost Analysis Delivery of Health Care, Integrated / economics* Female Humans Infant Male Prescription Fees Prospective Studies Questionnaires |
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