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What is the cost of integration? Evidence from an integrated health and agriculture project to improve nutrition outcomes in Western Kenya.
Levin, Carol E; Self, Julie L; Kedera, Ellah; Wamalwa, Moses; Hu, Jia; Grant, Frederick; Girard, Amy Webb; Cole, Donald C; Low, Jan W.
Afiliación
  • Levin CE; Department of Global Health, University of Washington, NJB Box #359931, 325 Ninth Avenue, Seattle, WA, USA.
  • Self JL; Rollins School of Public Health, Emory University, 1518 Clifton Road, Atlanta, GA, USA.
  • Kedera E; Path, Bungoma, Kenya.
  • Wamalwa M; International Potato Center, Bungoma, Kenya.
  • Hu J; Dalla Lana School of Public Health, University of Toronto, 155 College St Room 500, Toronto, ON, Canada.
  • Grant F; International Potato Center, Nairobi, Kenya.
  • Girard AW; Rollins School of Public Health, Emory University, 1518 Clifton Road, Atlanta, GA, USA.
  • Cole DC; Dalla Lana School of Public Health, University of Toronto, 155 College St Room 500, Toronto, ON, Canada.
  • Low JW; International Potato Center, Nairobi, Kenya.
Health Policy Plan ; 34(9): 646-655, 2019 Nov 01.
Article en En | MEDLINE | ID: mdl-31504504
Integrated nutrition and agricultural interventions have the potential to improve the efficiency and effectiveness of investments in food security and nutrition. This article aimed to estimate the costs of an integrated agriculture and health intervention (Mama SASHA) focused on the promotion of orange-fleshed sweet potato (OFSP) production and consumption in Western Kenya. Programme activities included nutrition education and distribution of vouchers for OFSP vines during antenatal care and postnatal care (PNC) visits. We used expenditures and activity-based costing to estimate the financial costs during programme implementation (2011-13). Cost data were collected from monthly expense reports and interviews with staff members from all implementing organizations. Financial costs totalled US$507 809 for the project period. Recruiting and retaining women over the duration of their pregnancy and postpartum period required significant resources. Mama SASHA reached 3281 pregnant women at a cost of US$155 per beneficiary. Including both pregnant women and infants who attended PNC services with their mothers, the cost was US$110 per beneficiary. Joint planning, co-ordination and training across sectors drove 27% of programme costs. This study found that the average cost per beneficiary to implement an integrated agriculture, health and nutrition programme was substantial. Planning and implementing less intensive integrated interventions may be possible, and economies of scale may reduce overall costs. Empirical estimates of costs by components are critical for future planning and scaling up of integrated programmes.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Productos Agrícolas / Ipomoea batatas / Promoción de la Salud Tipo de estudio: Health_economic_evaluation Límite: Female / Humans / Infant / Newborn / Pregnancy País/Región como asunto: Africa Idioma: En Revista: Health Policy Plan Asunto de la revista: PESQUISA EM SERVICOS DE SAUDE / SAUDE PUBLICA Año: 2019 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Reino Unido
Texto completo
Añadir a Mi BVS
Imprimir
XML
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Productos Agrícolas / Ipomoea batatas / Promoción de la Salud Tipo de estudio: Health_economic_evaluation Límite: Female / Humans / Infant / Newborn / Pregnancy País/Región como asunto: Africa Idioma: En Revista: Health Policy Plan Asunto de la revista: PESQUISA EM SERVICOS DE SAUDE / SAUDE PUBLICA Año: 2019 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Reino Unido