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dc.contributor.authorMulogo, Edgar
dc.contributor.authorNtaro, Moses
dc.contributor.authorWesuta, Andrew
dc.contributor.authorNamusisi, Jane
dc.contributor.authorKawungezi, Peter
dc.contributor.authorBatwala, Vincent
dc.contributor.authorMatte, Michael
dc.date.accessioned2024-05-23T09:52:22Z
dc.date.available2024-05-23T09:52:22Z
dc.date.issued2024
dc.identifier.citationMulogo, E., Ntaro, M., Wesuta, A., Namusisi, J., Kawungezi, P., Batwala, V., & Matte, M. (2024). Cost-effectiveness of village health worker-led integrated community case management (iCCM) versus health facility based management for childhood illnesses in rural southwestern Uganda. Malaria Journal, 23(1), 1-7.en_US
dc.identifier.urihttp://ir.must.ac.ug/xmlui/handle/123456789/3674
dc.description.abstractBackground: In Uganda, village health workers (VHWs) manage childhood illness under the integrated community case management (iCCM) strategy. Care is provided for malaria, pneumonia, and diarrhoea in a community setting. Currently, there is limited evidence on the cost-effectiveness of iCCM in comparison to health facility-based management for childhood illnesses. This study examined the cost-effectiveness of the management of childhood illness using the VHW-led iCCM against health facility-based services in rural south-western Uganda. Methods: Data on the costs and effectiveness of VHW-led iCCM versus health facility-based services for the management of childhood illness was collected in one sub-county in rural southwestern Uganda. Costing was performed using the ingredients approach. Effectiveness was measured as the number of under-five children appropriately treated. The Incremental Cost-Effectiveness Ratio (ICER) was calculated from the provider perspective. Results: Based on the decision model for this study, the cost for 100 children treated was US$628.27 under the VHW led iCCM and US$87.19 for the health facility based services, while the effectiveness was 77 and 71 children treated for VHW led iCCM and health facility-based services, respectively. An ICER of US$6.67 per under five-year child treated appropriately for malaria, pneumonia and diarrhoea was derived for the provider perspective. Conclusion: The health facility based services are less costly when compared to the VHW led iCCM per child treated appropriately. The VHW led iCCM was however more effective with regard to the number of children treated appropriately for malaria, pneumonia and diarrhoea. Considering the public health expenditure per capita for Uganda as the willingness to pay threshold, VHW led iCCM is a cost-effective strategy. VHW led iCCM should, therefore, be enhanced and sustained as an option to complement the health facility-based services for treatment of childhood illness in rural contexts.en_US
dc.description.sponsorshipl Seed Grant Fund of the Government of Ugandaen_US
dc.language.isoen_USen_US
dc.publisherMalaria Journalen_US
dc.subjectCost effectivenessen_US
dc.subjectVillage health workersen_US
dc.subjectIntegrated community case managementen_US
dc.subjectFacility based servicesen_US
dc.subjectCases treateden_US
dc.subjectUgandaen_US
dc.titleCost-effectiveness of village health worker-led integrated community case management (iCCM) versus health facility based management for childhood illnesses in rural southwestern Ugandaen_US
dc.typeArticleen_US


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