A Comparative Study To Analyze The Cost Of Maternal And Child Health programme At Primary Health Center In Ahmedabad, India
Cost of Maternal and Child Health Programme at PHC
Keywords:
Antenatal Care (ANC), Capital cost, Maternal and Child Health (MCH), Primary Health Center(PHC), Reproductive and Child Health(RCH), recurrent cost, Subcenter(SC), unit costAbstract
Background: Cost studies are paramount for demonstrating how resources have been spent and identifying opportunities for more efficient use of resources. The aim of this study was to determine the unit cost of maternal and child health (MCH) programme provided at Primary Health Centers (PHCs) and to examine the variation in unit cost in different PHCs. Methodology: The present study was carried out in three PHCs of Ahmedabad district namely Sanathal, Nandej, and Uperdal, between 1 April, 2006 and 31 March, 2007. For estimating the cost of a health program, information on all the physical and human resources that were basic inputs to the PHC services were collected and grouped into two categories, non-recurrent (capital resources vehicles, buildings, etc.) and recurrent resources (salaries, drugs, vaccines, contraceptives, maintenance, etc.). To generate the required data, two types of schedules were developed, daily time schedule and PHC/SC (Subcenter) information schedule. Results: Unit cost for each contact of MCH beneficiaries was Rs. 54.87 at Sanathal PHC, Rs. 87.63 at Nandej PHC and Rs. 70.01 at Uperdal PHC. Conclusion: Even though maternal and child health services are free, utilization of these services at the health centres were low, particularly for delivery, leading to high unit costs. [Mathur N NJIRM 2015; 6(4):94-98]
References
2. Anand K, Pandav CS, Kapoor SK, Kumar G, Nath LM. Cost of health services provided at a primary health center. Natl Med J India 1995;8:156-61.
3. Dey AS, Padhy PK. Economic cost of primary healthcare services in India. Demogr India 1995;2:195-211.
4. Katariya M, Shrivastava OP. Cost analysis of primary healthcare- WHO research Project, NIHFW;1988.
5. National Rural Health Mission, Budget 2007-2008, For NRHM Activities.
6. District Health Society, Ahmadabad. Schedule II of fix assets as on 31-03 -2007.
7. Creese A, Parker D. Cost Analysis in Primary Health Care: A Training Manual for Programme Managers Geneva, WHO. 1994.
8. Katariya, M, Shrivastava OP. Cost analysis of primary health care - WHO research Project, NIHFW.1988
9. Anand K, Pandav CS, Kapoor SK. Cost analysis of a primary health centre in northern India. National Medical Journal of India. 1993;6:160-163.
10. Knowles, James C. and Laurie Emrich. The estimation of family planning and primary health service costs in Morocco. The Futures Group. 1991;Draft: March 30
