Assessing changes in costs of maternal postpartum services between 2013 and 2014 in Burkina Faso

Yugbaré Belemsaga D, Goujon A ORCID: https://orcid.org/0000-0003-4125-6857, Degomme O, Nassa T, Duysburgh E, Kouanda S, & Temmerman M (2019). Assessing changes in costs of maternal postpartum services between 2013 and 2014 in Burkina Faso. International Journal for Equity in Health 18 (1): e154. DOI:10.1186/s12939-019-1064-5.

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Project: Missed Opportunities in Maternal and Infant Health: reducing maternal and newborn mortality and morbidity in the year after childbirth through combined facility- and community-based interventions (MOMI, FP7 265448)

Abstract

Introduction

In Africa, a majority of women bring their infant to health services for immunization, but few are checked in the postpartum (PP) period. The Missed opportunities for maternal and infant health (MOMI) EU-funded project has implemented a package of interventions at community and facility levels to uptake maternal and infant postpartum care (PPC). One of these interventions is the integration of maternal PPC in child clinics and infant immunization services, which proved to be successful for improving maternal and infant PPC.

Aim

Taking stock of the progress achieved in terms of PPC with the implementation of the interventions, this paper assesses the economic cost of maternal PPC services, for health services and households, before and after the project start in Kaya health district (Burkina Faso).

Methods

PPC costs to health services are estimated using secondary data on personnel and infrastructure and primary data on time allocation. Data from two household surveys collected before and after one year intervention among mothers within one year PP are used to estimate the household cost of maternal PPC visits. We also compare PPC costs for households and health services with or without integration. We focus on the costs of the PPC intervention at days 6–10 that was most successful.

Results

The average unit cost of health services for days 6–10 maternal PPC decreased from 4.6 USD before the intervention in 2013 (Jan-June) to 3.5 USD after the intervention implementation in 2014. Maternal PPC utilization increased with the implementation of the interventions but so did days 6–10 household mean costs. Similarly, the household costs increased with the integration of maternal PPC to BCG immunization.

Conclusion

In the context of growing reproductive health expenditures from many funding sources in Burkina Faso, the uptake of maternal PPC led to a cost reduction, as shown for days 6–10, at health services level. Further research should determine whether the increase in costs for households would be deterrent to the use of integrated maternal and infant PPC.

Item Type: Article
Research Programs: World Population (POP)
Depositing User: Luke Kirwan
Date Deposited: 17 Oct 2019 11:11
Last Modified: 17 Oct 2019 11:11
URI: http://pure.iiasa.ac.at/16110

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