标题:Cost analysis of integrated community case management of childhood malaria, diarrhea and pneumonia enhanced by mobile health technology in rural Zambia
摘要:Integrated community case management (iCCM) of malaria, diarrhea, and pneumonia is a comprehensive, equitybased strategy to improve treatment access for underserved children under five years old This paper presents data on cost of iCCM and incremental costs of mHealth enhanced supervision and supply chain management in Zambia We collected cost data using three questionnaires applied at national, district, health facility and community levels We interviewed 40 health facility supervisors and 75 community health workers A provider perspective and an ingredient costing method was used We entered and analyzed data in a customized excel costing tool The result shows that total iCCM cost per patient contact was USD 1843 The incremental cost of using the mHealth intervention per child contact for all iCCM conditions was USD 1135 The incremental cost per treatment of diarrhea, pneumonia, and malaria with mHealth intervention was USD 958, USD 1037 and USD 1282 Program costs accounted for 67% of the total, and the largest share was associated with supervision estimated at 36%, followed by supply chain management at 27% This study has provided valuable information to policy makers on how much it costs to implement iCCM program using mHealth interventions.