Journals Information
Universal Journal of Medical Science(CEASE PUBLICATION) Vol. 2(3), pp. 36 - 44
DOI: 10.13189/ujmsj.2014.020303
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Cost-effectiveness Analysis of Utilization of Community Health Workers in Promotion of Maternal Health Services in Butere District, Rural Western Kenya
Caroline Akinyi 1,*, Jeremie Nzanzu 2, Dan Kaseje 3, Rose Olayo 4
1 Department of Measurements in Health and Development, Great Lakes University of Kisumu (GLUK), (40103) 6683, Kisumu, Kenya
2 Department of Information Technology, Great Lakes University of Kisumu, (40100) 2224, Kisumu, Kenya
3 Department of Community Health and Development, Great Lakes University of Kisumu, (40100) 2224, Kisumu, Kenya
4 Department of Health Promotion, Great Lakes University of Kisumu, (40100) 2224, Kisumu, Kenya
ABSTRACT
Cost-effectiveness analysis is a type of economic evaluation used to determine the best use of money available for medical care for informed decision making. This study carried out a cost-effectiveness analysis of using Community Health Workers (CHWs) as an integral part of Community Health Strategy implementation to promote uptake of maternal health services in Butere District, rural western Kenya. The main objective was to determine incremental cost-effectiveness ratio of utilization of CHWs in promotion of maternal health services in Butere District (intervention site) in selected Community Health Units. The costs and consequences of promoting maternal health services at the community level with CHWs were identified, measured, valued while using a quasi experimental study design. Annual cost incurred in utilizing CHWs to promote maternal health services in Butere District in 2011 was US$ 30,124, effectiveness of utilization of CHWs was 1,205 yearly DALY averted. The incremental cost-effectiveness ratio was US$25 per yearly DALY averted.Utilization of CHWs to promote maternal health services is a cost effective strategy in Butere District. Community Health Strategy should be up scaled as it is a cost effective intervention to promote uptake of maternal health services especially in the rural population where health seeking behaviours are low.
KEYWORDS
Cost-effectiveness Analysis, Community Health Workers, Maternal Health Services
Cite This Paper in IEEE or APA Citation Styles
(a). IEEE Format:
[1] Caroline Akinyi , Jeremie Nzanzu , Dan Kaseje , Rose Olayo , "Cost-effectiveness Analysis of Utilization of Community Health Workers in Promotion of Maternal Health Services in Butere District, Rural Western Kenya," Universal Journal of Medical Science(CEASE PUBLICATION), Vol. 2, No. 3, pp. 36 - 44, 2014. DOI: 10.13189/ujmsj.2014.020303.
(b). APA Format:
Caroline Akinyi , Jeremie Nzanzu , Dan Kaseje , Rose Olayo (2014). Cost-effectiveness Analysis of Utilization of Community Health Workers in Promotion of Maternal Health Services in Butere District, Rural Western Kenya. Universal Journal of Medical Science(CEASE PUBLICATION), 2(3), 36 - 44. DOI: 10.13189/ujmsj.2014.020303.