Cost-effectiveness of the community-based management of severe acute malnutrition by community health workers in southern Bangladesh

Health Policy and Planning

Volumn 28, Issue 4, 2013, Pages 386-399

  Puett, Chloe ^a   Sadler, Kate ^a   Alderman, Harold ^b   Coates, Jennifer ^a   Fiedler, John L ^c   Myatt, Mark ^d  

^a TUFTS UNIVERSITY   (United States)

^b WORLD BANK   (United States)

^c INTERNATIONAL FOOD POLICY RESEARCH INSTITUTE   (United States)

^d Brixton Health ^*  (United Kingdom)

Author keywords

activity based costing; Bangladesh; community case management; community health workers; community based management of acute malnutrition; Cost effectiveness; nutrition; severe acute malnutrition; South Asia

Indexed keywords

BANGLADESH; COMMUNITY CARE; COST BENEFIT ANALYSIS; ECONOMICS; HEALTH AUXILIARY; HUMAN; INFANT; MALNUTRITION; PROFESSIONAL STANDARD; PROGRAM EVALUATION; SEVERITY OF ILLNESS INDEX; ACTIVITY-BASED COSTING; ARTICLE; COMMUNITY CASE MANAGEMENT; COMMUNITY-BASED MANAGEMENT OF ACUTE MALNUTRITION; COST-EFFECTIVENESS; NUTRITION; SEVERE ACUTE MALNUTRITION; SOUTH ASIA;

BANGLADESH; COMMUNITY HEALTH WORKERS; COMMUNITY NETWORKS; COST-BENEFIT ANALYSIS; HUMANS; INFANT; MALNUTRITION; PROFESSIONAL ROLE; PROGRAM EVALUATION; SEVERITY OF ILLNESS INDEX;

ACTIVITY-BASED COSTING; BANGLADESH; COMMUNITY CASE MANAGEMENT; COMMUNITY HEALTH WORKERS; COMMUNITY-BASED MANAGEMENT OF ACUTE MALNUTRITION; COST-EFFECTIVENESS; NUTRITION; SEVERE ACUTE MALNUTRITION; SOUTH ASIA;

EID: 84880358674     PISSN: 02681080     EISSN: 14602237     Source Type: Journal    
DOI: 10.1093/heapol/czs070     Document Type: Article

References (53)

1. Ahmed T, Ali M, Ullah M et al. 1999. Mortality in severely malnourished children with diarrhoea and use of a standardised management protocol. The Lancet 353:1919-22.
2. Ashworth A. 2006. Efficacy and effectiveness of community-based treatment of severe malnutrition. Food and Nutrition Bulletin 27:S24-S48.
3. Ashworth A, Chopra M, McCoy D et al. 2004. WHO guidelines for management of severe malnutrition in rural South African hospitals:effect on case fatality and the influence of operational factors. The Lancet 363:1110-15.
4. Ashworth A, Khanum S. 1997. Cost-effective treatment for severely malnourished children:what is the best approach? Health Policy and Planning 12:115-21.
5. Ashworth A, Khanum S, Jackson A, Schofield C. 2003. Guidelines for the Inpatient Treatment of Severely Malnourished Children. Geneva:World Health Organization.
6. Bachmann MO. 2009. Cost effectiveness of community-based therapeutic care for children with severe acute malnutrition in Zambia:decision tree model. Cost Effectiveness and Resource Allocation 7:2.
7. Berman P, Gwatkin D, Burger S. 1987. Community-based health workers:head start or false start towards health for all? Social Science and Medicine 25:443-59.
8. Bobadilla J, Cowley P, Musgrove P, Saxenian H. 1994. Design, content and financing of an essential national package of health services. Bulletin of the World Health Organization 72:653-62.
9. Briend A, Wojtyniak B, Rowland MGM. 1987. Arm circumference and other factors in children at high risk of death in rural Bangladesh. The Lancet 26:725-7.
10. Briend A, Zimicki S. 1986. Validation of arm circumference as an indicator of risk of death in one to four year old children. Nutrition Research 6:249-61.
11. Briggs A, Wonderling D, Mooney C. 1997. Pulling cost-effectiveness analysis up by its bootstraps:a non-parametric approach to confidence interval estimation. Econometrics and Health Economics 6:327-40.
12. Collins S, Dent N, Binns P et al. 2006a. Management of severe acute malnutrition in children. The Lancet 368:1992-2000.
13. Collins S, Sadler K, Dent N et al. 2006b. Key issues in the success of community-based management of severe malnutrition. Food and Nutrition Bulletin 27:S49-S79.
14. Commission on Macroeconomics and Health. 2001. Macroeconomics and Health:Investing in Health for Economic Development. Geneva: World Health Organization.
15. Creese A, Parker D. 1994. Cost Analysis in Primary Health Care. A Training Manual for Programme Managers. Geneva:World Health Organization.
16. Efron B, Gong G. 1983. A leisurely look at the Bootstrap, the Jackknife, and Cross-Validation. The American Statistician 37:36-48.
17. Fox-Rushby J, Hanson K. 2001. Calculating and presenting disability adjusted life years (DALYs) in cost-effectiveness analysis. Health Policy and Planning 16:326-31.
18. Golden M. 2007. Questions from the field. Field Exchange, Emergency Nutrition Network 31:17-20.
19. Gupta P, Shah D, Sachdev H, Kapil U. 2006. National Workshop on "Development of Guidelines for Effective Home Based Care and Treatment of Children Suffering from Severe Acute Malnutrition". Indian Pediatrics 43:131-139.
20. Horton S, Shekar M, McDonald C, Mahal A, Brooks JK. 2010. Scaling up Nutrition:What will it Cost? Washington, DC:World Bank.
21. Ihaka R, Gentleman R. 1996. R:A language for data analysis and graphics. Journal of Computational and Graphical Statistics 5:299-314.
22. IPHN, DGHS, MoHFW, GoB. 2008. National Guidelines for the Management of Severely Malnourished Children in Bangladesh. Dhaka:Government of Bangladesh.
23. Islam MA, Wakai S, Ishikawa N, Chowdhury AMR, Vaughan JP. 2002. Cost-effectiveness of community health workers in tuberculosis control in Bangladesh. Bulletin of the World Health Organization 80:445-50.
24. Jamison DT, Breman JG, Measham AR et al. 2006. Disease Control Priorities in Developing Countries. New York:Oxford University Press.
25. Jha P, Bangoura O, Ranson K. 1998. The cost-effectiveness of forty health interventions in Guinea. Health Policy and Planning 13:249-62
26. Management Sciences for Health. 2010. International Drug Price Indicator Guide. Online at:http://erc.msh.org/mainpage.cfm?file=3.4.cfm& module=DMP&language=english, accessed 10 August 2010.
27. Mason JB, Sanders D, Musgrove P, Soekirman, Galloway R. 2006. Community health and nutrition programs. In:Jamison DT, Breman JG, Measham AR, Alleyne G, Claeson M (eds). Disease Control Priorities in Developing Countries. 2nd edn. Washington, DC:World Bank
28. Microsoft. 2010. Microsoft Excel. Version 14 edn. Redmond, CA:Microsoft.
29. Murray C, Lopez A. 1996. The Global Burden of Disease:A comprehensive assessment of mortality and disability from diseases, injury and risk factors in 1990 and projected to 2020. Boston, MA:Harvard School of Public Health.
30. Murray CJL. 1994. Quantifying the burden of disease:the technical basis for disability-adjusted life years. Bulletin of the World Health Organization 72:429-45
31. OANDA. 2010. Currency Converter. Online at:http://www.oanda.com/currency/ converter/, accessed 22 April 2010.
32. Pelletier DL, Low J, Jihnson F, Msuak A. 1994. Child anthropometry and mortality in Malawi:testing for effect modification by age and length of follow-up and confounding by socio-economic factors. Journal of Nutrition 124:2082S-2105S
33. Prasad V. 2009. Should India use commercially produced ready to use therapeutic foods (RUTF) for severe acute malnutrition (SAM). Social Medicine 4:52-55.
34. Puett C, Coates J, Alderman H, Sadruddin S, Sadler K. In press. Does greater workload lead to reduced quality of preventive and curative care among CHWs in Bangladesh? Food and Nutrition Bulletin.
35. Puett C, Coates J, Alderman H, Sadler K. 2012. Quality of care for severe acute malnutrition delivered by community health workers in southern Bangladesh. Maternal & Child Nutrition. doi:10.1111/j.1740-8709.2012.00409. x.
36. Rosato M, Laverack G, Howard Grabman L et al. 2008. Community participation:lessons for maternal, newborn, and child health. Alma-Ata:Rebirth and Revision 5. The Lancet 372:962-71.
37. Russell LB, Fryback DG, Sonnenberg FA. 1999. Is the societal perspective in cost-effectiveness analysis useful for decision-makers? Journal on Quality Improvement 25:447-54.
38. Russell LB, Gold MR, Siegel JE, Daniels N, Weinstein MC. 1996. The role of cost-effectiveness analysis in health and medicine. Journal of the American Medical Association 276:1172-77.
39. Sachdev H, Kapil U, Vir S. 2010. Consensus Statement:National Consensus Workshop on Management of SAM Children through Medical Nutrition Therapy. Indian Pediatrics 47:661-5.
40. Sadler K, Myatt M, Feleke T, Collins S. 2007. A comparison of the programme coverage of two therapeutic feeding interventions implemented in neighbouring districts of Malawi. Public Health Nutrition 10:907-13.
41. Sadler K, Puett C, Mothabbir G, Myatt M. 2011. Community case management of severe acute malnutrition in southern Bangladesh:an operational effectiveness study. Medford, MA:Feinstein International Center, Tufts University.
42. StataCorp. 2009. Stata Statistical Software:Release 11. College Station, TX:StataCorp LP.
43. Tan-Torres Edejer T, Baltussen R, Adam T et al. (eds). 2003. Making Choices in Health:WHO Guide to Cost-Effectiveness Analysis. Geneva:World Health Organization.
44. Tekeste A. 2007. Cost-effectiveness analysis of community-based and inpatient therapeutic feeding programs to treat severe acute malnutrition in Sidama Zone, SNNPRS, Ethiopia. MPH thesis, Jimma University, Ethiopia.
45. Valid International. 2006. Community-based Therapeutic Care (CTC):A Field Manual. Oxford:Valid International.
46. Vella V, Tomkins A, Ndiku J, Marshal T, Cortinovis I. 1994. Anthropometry as a predictor for mortality among Ugandan children, allowing for socio-economic variables. European Journal of Clinical Nutrition 48:189-97.
47. Weinstein MC, Siegel JE, Gold MR, Kamlet MS, Russell LB. 1996. Recommendations of the Panel on Cost-Effectiveness in Health and Medicine. Journal of the American Medical Association 276:1253-8.
48. WHO. 1999. Management of Severe Malnutrition: A manual for physicians and other senior health workers. Geneva: World Health Organization.
49. WHO. 2004. Global Burden of Disease 2004 Update:Disability Weights for Diseases and Conditions. Geneva: World Health Organization.
50. WHO. 2009. Global Health Observatory. Online at: http://apps.who. int/ghodata/?vid=60120, accessed 4 October 2010.
51. WHO, WFP, UNSCN, UNICEF. 2007. Community-based management of Severe Acute malnutrition: A Joint Statement by the World Health Organization, the World Food Programme, the United Nations System Standing Committee on Nutrition and the United Nations Children's Fund. New York:United Nations Children's Fund.
52. Wilford R, Golden K, Walker DG. 2011. Cost-effectiveness of community-based management of acute malnutrition in Malawi. Health Policy and Planning 27:127-37.
53. World Bank. 2011. World Development Indicators database for 2009. Online at: http://data.worldbank.org/country/bangladesh, accessed 10 January 2011.