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The cost of quality improvements due to integrated management of childhood illness (IMCI) in Uganda

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  • David Bishai
  • Gita Mirchandani
  • George Pariyo
  • Gilbert Burnham
  • Robert Black

Abstract

The goal of this paper is to measure the marginal change in facility‐level costs of medical care for children under five due to an increase in service quality achieved through the integrated management of childhood illness (IMCI) strategy. Since the beneficial effects of IMCI training on child health outcomes are due to IMCI's effects on service quality, costs of IMCI are regressed against measures of service quality in this paper. Our model shows that quality, as measured by a WHO‐index of integrated child assessment is 44% higher in facilities with at least one health worker trained in IMCI as compared to facilities with no health workers trained in IMCI, adjusting for facility utilization as well as type of facility ownership. Our marginal analysis that tied IMCI training to quality and quality to costs shows that on the margin, investing in IMCI training at a primary facility level can yield a significant 44.3% improvement in service quality for a modest 13.5% increase in annual facility costs. Copyright © 2007 John Wiley & Sons, Ltd.

Suggested Citation

  • David Bishai & Gita Mirchandani & George Pariyo & Gilbert Burnham & Robert Black, 2008. "The cost of quality improvements due to integrated management of childhood illness (IMCI) in Uganda," Health Economics, John Wiley & Sons, Ltd., vol. 17(1), pages 5-19, January.
    • Handle: RePEc:wly:hlthec:v:17:y:2008:i:1:p:5-19
    DOI: 10.1002/hec.1231
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    References listed on IDEAS

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    1. Andrew M. Jones, 2012. "health econometrics," The New Palgrave Dictionary of Economics,, Palgrave Macmillan.
    2. Gouws, Eleanor & Bryce, Jennifer & Pariyo, George & Armstrong Schellenberg, Joanna & Amaral, João & Habicht, Jean-Pierre, 2005. "Measuring the quality of child health care at first-level facilities," Social Science & Medicine, Elsevier, vol. 61(3), pages 613-625, August.
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    1. Marta Ziolkowska, 2017. "Success Factors and Benefits of Social Franchising as a Form of Entrepreneurship (Czynniki sukcesu i korzysci franczyzy spolecznej jako formy przedsiebiorczosci)," Research Reports, University of Warsaw, Faculty of Management, vol. 1(23), pages 37-47.
    2. Ahmed, Haitham M. & Mitchell, Marc & Hedt, Bethany, 2010. "National implementation of Integrated Management of Childhood Illness (IMCI): Policy constraints and strategies," Health Policy, Elsevier, vol. 96(2), pages 128-133, July.
    3. Anatole Manzi & Jean Claude Mugunga & Hari S Iyer & Hema Magge & Fulgence Nkikabahizi & Lisa R Hirschhorn, 2018. "Economic evaluation of a mentorship and enhanced supervision program to improve quality of integrated management of childhood illness care in rural Rwanda," PLOS ONE, Public Library of Science, vol. 13(3), pages 1-12, March.

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