Cost evaluation of reproductive and primary health care mobile service delivery for women in two rural districts in South Africa

PloS One
Kathryn SchnippelCynthia Firnhaber

Abstract

Cervical cancer screening is a critical health service that is often unavailable to women in under-resourced settings. In order to expand access to this and other reproductive and primary health care services, a South African non-governmental organization established a van-based mobile clinic in two rural districts in South Africa. To inform policy and budgeting, we conducted a cost evaluation of this service delivery model. The evaluation was retrospective (October 2012-September 2013 for one district and April-September 2013 for the second district) and conducted from a provider cost perspective. Services evaluated included cervical cancer screening, HIV counselling and testing, syndromic management of sexually transmitted infections (STIs), breast exams, provision of condoms, contraceptives, and general health education. Fixed costs, including vehicle purchase and conversion, equipment, operating costs and mobile clinic staffing, were collected from program records and public sector pricing information. The number of women accessing different services was multiplied by ingredients-based variable costs, reflecting the consumables required. All costs are reported in 2013 USD. Fixed costs accounted for most of the total annual ...Continue Reading

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Citations

Aug 12, 2016·The Cochrane Database of Systematic Reviews·Hany Abdel-AleemGhada S T Al-Attar
Feb 26, 2016·BMC Public Health·John S LuqueWendy S Guevara Condorhuaman
Jun 10, 2017·Frontiers in Public Health·Maria F CanizaresMichelle A James
Oct 6, 2017·Cancer Epidemiology, Biomarkers & Prevention : a Publication of the American Association for Cancer Research, Cosponsored by the American Society of Preventive Oncology·Zoë R GreenwaldEduardo L Franco
Mar 22, 2021·Health Economics Review·Annesha WhiteMarc Fleming

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Methods Mentioned

BETA
circumcision
contraception

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