Costing maternal health services in South Tanzania: A case study from Mtwara Urban District

European Journal of Health Economics

Volumn 9, Issue 2, 2008, Pages 103-115

  Von Both, Claudia ^a   Jahn, Albrecht ^a   Fleßa, Steffen ^b  

^a UNIVERSITY OF HEIDELBERG   (Germany)

^b UNIVERSITY OF GREIFSWALD   (Germany)

Author keywords

Antenatal care; Costing; Maternal health; Tanzania

Indexed keywords

AMBULATORY CARE; ARTICLE; HEALTH CARE COST; HEALTH CARE FACILITIES AND SERVICES; HEALTH CARE PERSONNEL; HEALTH SERVICE; HOSPITAL COST; HUMAN; INSTRUMENTAL DELIVERY; MAJOR CLINICAL STUDY; MATERNAL WELFARE; OBSTETRIC CARE; PRENATAL CARE; PRIORITY JOURNAL; TANZANIA; UNITED STATES; VAGINAL DELIVERY;

COSTS AND COST ANALYSIS; DELIVERY OF HEALTH CARE; DELIVERY, OBSTETRIC; FEMALE; HEALTH CARE COSTS; HOSPITAL DEPARTMENTS; HUMANS; MATERNAL HEALTH SERVICES; PREGNANCY; RESOURCE ALLOCATION; TANZANIA; UNITED STATES; URBAN HEALTH SERVICES;

EID: 42149144859     PISSN: 16187598     EISSN: None     Source Type: Journal    
DOI: 10.1007/s10198-007-0048-3     Document Type: Article

References (52)

1. Green, A.: An introduction to health planning in developing countries. Oxford University Press, Oxford (1992)
2. Levin, A., Dmytraczenko, T., McEuen, M., Ssengooba, F., Mangani, R., Van Dyck, G.: Costs of maternal health care services in three anglophone African countries. Int. J. Health Plann. Manage. 18, 3-22 (2003)
3. Valli, A., Ferrinho, P., Broomberg, J., Wilson, T.D., Robb, D.: Costs of primary health care at Alexandra Health Centre. S. Afr. Med. J. 80, 396-399 (1991)
4. Gilson, L.: The lessons of user fee experience in Africa. Health Policy Plan. 12, 273-285 (1997)
5. Mills, A.: The economics of hospitals in developing countries. Part I: expenditure patterns. Health Policy Plan. 5(2), 107-117 (1990)
6. Mills, A.: The economics of hospitals in developing countries. Part II: costs and sources of income. Health Policy Plan. 5(3), 203-218 (1990)
7. Kowalewski, M.: How much does maternity care cost? A cost analysis of maternity care in rural Tanzania. Dissertation for the degree of Medical Doctor. University of Heidelberg (1998)
8. Flessa, S: Gesundheitsreformen in Entwicklungsländern; Eine kritische Analyse aus Sicht der kirchlichen Entwicklungshilfe, 1st edn. Frankfurt am Main und Butzbach, Verlag Otto Lembeck (2002)
9. Walker, D.: Cost and cost-effectiveness of HIV/AIDS prevention strategies in developing countries: is there an evidence base? Health Policy Plan. 18, 4-17 (2003)
10. Bouvier-Colle, M.H.: Maternal mortality in developing countries: statistical data and improvement in obstetrical care. Med. Trop. 63, 358-365 (2003)
11. WHO. Maternal Mortality in 2000: estimates developed by WHO, UNICEF and UNFPA. 2004. WHO. ISBN 9241562706. http://www.whqlibdoc.who.int/publications/ 2004/9241562706.pdf
12. WHO, UNICEF. Revised 1990 estimates of maternal mortality: a new approach by WHO and UNICEF. 1996. Geneva, WHO/FRH/MSM/96.11 & UNICEF/PLN/96.1
13. Yu, V.: Global, regional and national perinatal and neonatal mortality. J. Perinat. Med. 31, 376-379 (2003)
14. WHO. Beyond the numbers. Reviewing maternal death and complications to make pregnancy safer. 2004. Geneva. ISBN 9241591838. http://www.whqlibdoc.who. int/publications/2004/9241591838.pdf
15. WHO UU, World Bank. Reduction of maternal mortality. A joint WHO/UNFPA/UNICEF/World Bank Statement. WHO. 1-40. 1999. Switzerland. ISBN 9241561955. http://www.who.int/reproductive-health/publications/ reduction_of_maternal_mortality/reduction_of_maternal_mortality_abstract.htm
16. Yayla, M.: Maternal mortality in developing countries. J. Perinat. Med. 31, 386-391 (2003)
17. Mella, P.: Major factors that impact on women's health in Tanzania: the way forward. Health Care Women Int. 24, 712-722 (2003)
18. Tanzania/Bureau of Statistics. Tanzania Reproductive and Child Health Survey. Dar es Salaam (1999)
19. Waddington, C., Kello, A.B., Wirakartakusumah, D., Ganiarto, E., Malik, R., Maneno, J., et al.: Financial information at district level: experiences from five countries. Health Policy Plan. 4, 207-218 (1989)
20. Broomberg, J., Rees, H.: Delivering at the right price-the costs of primary maternity care at the Diepkloof Community Health Centre, Soweto. S. Afr. Med. J. 83, 272-275 (1993)
21. Tanzania/Bureau of Statistics. 2002 Population and Housing Consensus (2002)
22. Regional Medical Officer. Maternal Mortality Ratio in Mtwara Region. Personal Communication (2004)
23. Tanzania/Ministry of Health. Health Care Technical Services Operational Manual (2002)
24. Tanzania/Ministry of Health. Manual for Quantification of National Requirements of Equipment and supplies for laboratory, radiology, dental and health care technical services in Tanzania (2002)
25. MSD medical stores department. Essential Drugs and Medical Supplies. Dar es Salaam, Tanzania, Medical Stores department (2003)
26. Luczak, H.: Zeitwirtschaft. In Arbeitswissenschaft. Springer, Berlin, pp 649-675 (1998)
27. Making pregnancy safer: the critical role of the skilled attendant. A joint statement by WHO, ICM and FIGO. Geneva. World Health Organization (2004)
28. The World Health Report, Make every mother and child count. Annex Table 8. Geneva, World Health Organization, 2005. ( http://www.who.int/whr/2005/en/ index.html )
29. Indicators for Monitoring the Millenium Development Goals: Definitions Rationale Concepts and Sources. United Nations Development Group. ST/ESA/STAT/SER.F/95. New York, United Nations (2003)
30. Reproductive Health Indicators: Guidelines for their generation, interpretation and analysis for global monitoring (in press). Geneva, World Health Organization (2006)
31. Tanzania/Ministry of Health. Guideline standards for health facilities. Dar es Salaam (1996)
32. Halbwachs, H., Issakov, A.: Essential equipment for district health facilities in developing countries. Eschborn (1994)
33. Luczak, H., Skript: Arbeitswissenschaft II, Zeitstrukturanalyse. Lehrstuhl und Institut für Arbeitswissenschaft der RWTH Aachen. 3. Lerneinheit, Sommersemester (2004)
34. REFA. Methoden des Arbeitsstudiums. Teil 2: Datenermittlung. München, Hanser Verlag (1992)
35. WHO. The world health report 2004. Selected indicators by WHO Member State and WHO Region and mortality stratum. Information on WHO Member States and WHO Regions. Millenium Development Goals. Statistical annexes of the World Health Report (2004)
36. Anand, K., Pandav, C.S., Kapoor, S.K., Kumar, G., Nath, L.M.: Cost of health services provided at a primary health centre. Natl. Med. J. India 8, 156-161 (1995)
37. Green, A., Barker, C.: Priority setting and economic appraisal: whose priorities-the community or the economist? Soc. Sci. Med. 26(9), 919-929 (1988)
38. Creese, A.L.: User charges for health care: a review of recent experience. Health Policy Plan. 6(4), 309-319 (1991)
39. Ferrinho, P., Valli, A.: Cost of drugs at an urban primary health care centre in Alexandra, South Africa. Ann. Soc. Belg. Med. Trop. 74, 327-338 (1994)
40. Kowalewski, M., Jahn, A., Kimatta, S.S.: Why do at-risk mothers fail to reach referral level care? Barriers beyond distance and cost. Afr. J. Reprod. Health 4, 100-109 (2000)
41. Gupta, J., Gupta, H.: Perceptions of and constraints upon pregnancy-related referrals in rural Rajasthan, India. Health Serv. Manage. Res. 13, 6-15 (2000)
42. Jahn, A., De Brouwere, V.: Referral in pregnancy and childbirth: concepts and strategies. Studies in Health Service Organisation and Policy 229-246 (2001)
43. Mwaniki, P., Kabiru, E., Mbugua, G.G.: Utilisation of antenatal and maternity services by mothers seeking child welfare services in Mbeere District, Eastern Province, Kenya. East Afr. Med. J. 79, 184-187 (2002)
44. Pokhrel S., Hidayat B., Fleßa S., Sauerborn R.: Modelling the effectiveness of financing policies to address underutilization of children's health services in Nepal Bull. World Health Organ. 83(5), S339-S346 (2005)
45. Su T., Kouyaté B., Fleßa S.: Catastrophic household expenditure for health care in a low-income society: a study frmo Nouna District, Burkina Faso Bull. World Health Organ. 84(1), S21-S27 (2006)
46. Gilson, L.: Management and health care reform in sub-Saharan Africa. Soc. Sci. Med. 40, 695-710 (1995)
47. Ligula Regional Hospital Mtwara. Ligula Regional Hospital Mtwara Annual Report 2003 (2004)
48. Flessa S.: Costing of health services of Evangelical Lutheran Church in Tanzania. Methodology and Results, unpublished. Arusha, Tanzania (1997)
49. Flessa, S.: Gesundheitsreformen in Entwicklungsländern; Eine kritische Analyse aus Sicht der kirchlichen Entwicklungshilfe, First edn. Frankfurt am Main und Butzbach: Verlag Otto Lembeck, 122-128 (2002)
50. Flessa, S.: The cost of health services: a case study of Evangelical Lutheran Church hospitals in Tanzania. Health Policy Plan. 13, 397-407 (1998)
51. Nursing officer, maternity ward, Ligula hospital, Mtwara Urban District. Personnel communication (2004)
52. Reinke, W.: Health planning for effective management. Oxford University Press, New York (1988)