Matches in SemOpenAlex for { <https://semopenalex.org/work/W2119742200> ?p ?o ?g. }
- W2119742200 endingPage "10" @default.
- W2119742200 startingPage "10" @default.
- W2119742200 abstract "Recent analyses show that donor funding for child health is increasing, but little information is available on actual costs to deliver child health care services. Understanding how unit costs scale with service volume in Malawi can help planners allocate budgets as health services expand. Data on facility level inputs and outputs were collected at 24 health centres in four districts of Malawi visiting a random sample of government and a convenience sample of Christian Health Association of Malawi (CHAM) health centres. In the cost function, total outputs, quality, facility ownership, average salaries and case mix are used to predict total cost. Regression analysis identifies marginal cost as the coefficient relating cost to service volume intensity. The marginal cost per patient seen for all health centres surveyed was US$ 0.82 per additional patient visit. Average cost was US$ 7.16 (95% CI: 5.24 to 9.08) at government facilities and US$ 10.36 (95% CI: 4.92 to 15.80) at CHAM facilities per child seen for any service. The first-line anti-malarial drug accounted for over 30% of costs, on average, at government health centres. Donors directly financed 40% and 21% of costs at government and CHAM health centres, respectively. The regression models indicate higher total costs are associated with a greater number of outpatient visits but that many health centres are not providing services at optimal volume given their inputs. They also indicate that CHAM facilities have higher costs than government facilities for similar levels of utilization. We conclude by discussing ways in which efficiency may be improved at health centres. The first option, increasing the total number of patients seen, appears difficult given existing high levels of child utilization; increasing the volume of adult patients may help spread fixed and semi-fixed costs. A second option, improving the quality of services, also presents difficulties but could also usefully improve performance." @default.
- W2119742200 created "2016-06-24" @default.
- W2119742200 creator A5002564109 @default.
- W2119742200 creator A5010122332 @default.
- W2119742200 creator A5039061395 @default.
- W2119742200 creator A5039330243 @default.
- W2119742200 creator A5063115936 @default.
- W2119742200 date "2013-01-01" @default.
- W2119742200 modified "2023-10-17" @default.
- W2119742200 title "A cost function analysis of child health services in four districts in Malawi" @default.
- W2119742200 cites W1451590722 @default.
- W2119742200 cites W1490716625 @default.
- W2119742200 cites W1595046345 @default.
- W2119742200 cites W1968150163 @default.
- W2119742200 cites W1976728581 @default.
- W2119742200 cites W1984343662 @default.
- W2119742200 cites W2027950310 @default.
- W2119742200 cites W2047782512 @default.
- W2119742200 cites W2070719069 @default.
- W2119742200 cites W2073349530 @default.
- W2119742200 cites W2106407824 @default.
- W2119742200 cites W2113384406 @default.
- W2119742200 cites W2120110882 @default.
- W2119742200 cites W2126132252 @default.
- W2119742200 cites W2129533307 @default.
- W2119742200 cites W3124564277 @default.
- W2119742200 cites W3151002452 @default.
- W2119742200 doi "https://doi.org/10.1186/1478-7547-11-10" @default.
- W2119742200 hasPubMedCentralId "https://www.ncbi.nlm.nih.gov/pmc/articles/3729666" @default.
- W2119742200 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/23663496" @default.
- W2119742200 hasPublicationYear "2013" @default.
- W2119742200 type Work @default.
- W2119742200 sameAs 2119742200 @default.
- W2119742200 citedByCount "3" @default.
- W2119742200 countsByYear W21197422002014 @default.
- W2119742200 countsByYear W21197422002017 @default.
- W2119742200 countsByYear W21197422002023 @default.
- W2119742200 crossrefType "journal-article" @default.
- W2119742200 hasAuthorship W2119742200A5002564109 @default.
- W2119742200 hasAuthorship W2119742200A5010122332 @default.
- W2119742200 hasAuthorship W2119742200A5039061395 @default.
- W2119742200 hasAuthorship W2119742200A5039330243 @default.
- W2119742200 hasAuthorship W2119742200A5063115936 @default.
- W2119742200 hasBestOaLocation W21197422001 @default.
- W2119742200 hasConcept C121955636 @default.
- W2119742200 hasConcept C137992405 @default.
- W2119742200 hasConcept C138816342 @default.
- W2119742200 hasConcept C138885662 @default.
- W2119742200 hasConcept C144133560 @default.
- W2119742200 hasConcept C159110408 @default.
- W2119742200 hasConcept C160735492 @default.
- W2119742200 hasConcept C162324750 @default.
- W2119742200 hasConcept C162853370 @default.
- W2119742200 hasConcept C175444787 @default.
- W2119742200 hasConcept C182299520 @default.
- W2119742200 hasConcept C185592680 @default.
- W2119742200 hasConcept C198531522 @default.
- W2119742200 hasConcept C2778137410 @default.
- W2119742200 hasConcept C2780877353 @default.
- W2119742200 hasConcept C29321873 @default.
- W2119742200 hasConcept C41895202 @default.
- W2119742200 hasConcept C43617362 @default.
- W2119742200 hasConcept C45355965 @default.
- W2119742200 hasConcept C50522688 @default.
- W2119742200 hasConcept C524218345 @default.
- W2119742200 hasConcept C66887028 @default.
- W2119742200 hasConcept C71924100 @default.
- W2119742200 hasConcept C99454951 @default.
- W2119742200 hasConceptScore W2119742200C121955636 @default.
- W2119742200 hasConceptScore W2119742200C137992405 @default.
- W2119742200 hasConceptScore W2119742200C138816342 @default.
- W2119742200 hasConceptScore W2119742200C138885662 @default.
- W2119742200 hasConceptScore W2119742200C144133560 @default.
- W2119742200 hasConceptScore W2119742200C159110408 @default.
- W2119742200 hasConceptScore W2119742200C160735492 @default.
- W2119742200 hasConceptScore W2119742200C162324750 @default.
- W2119742200 hasConceptScore W2119742200C162853370 @default.
- W2119742200 hasConceptScore W2119742200C175444787 @default.
- W2119742200 hasConceptScore W2119742200C182299520 @default.
- W2119742200 hasConceptScore W2119742200C185592680 @default.
- W2119742200 hasConceptScore W2119742200C198531522 @default.
- W2119742200 hasConceptScore W2119742200C2778137410 @default.
- W2119742200 hasConceptScore W2119742200C2780877353 @default.
- W2119742200 hasConceptScore W2119742200C29321873 @default.
- W2119742200 hasConceptScore W2119742200C41895202 @default.
- W2119742200 hasConceptScore W2119742200C43617362 @default.
- W2119742200 hasConceptScore W2119742200C45355965 @default.
- W2119742200 hasConceptScore W2119742200C50522688 @default.
- W2119742200 hasConceptScore W2119742200C524218345 @default.
- W2119742200 hasConceptScore W2119742200C66887028 @default.
- W2119742200 hasConceptScore W2119742200C71924100 @default.
- W2119742200 hasConceptScore W2119742200C99454951 @default.
- W2119742200 hasIssue "1" @default.
- W2119742200 hasLocation W21197422001 @default.
- W2119742200 hasLocation W21197422002 @default.
- W2119742200 hasLocation W21197422003 @default.
- W2119742200 hasLocation W21197422004 @default.
- W2119742200 hasOpenAccess W2119742200 @default.