Central Statistical Office, Box 31908, Lusaka, Zambia.
Cost Eff Resour Alloc. 2011 Jun 29;9(1):11. doi: 10.1186/1478-7547-9-11.
Exclusive breastfeeding (EBF) for 6 months is the recommended form of infant feeding. Support of mothers through individual peer counselling has been proved to be effective in increasing exclusive breastfeeding prevalence. We present a costing study of an individual peer support intervention in Uganda, whose objective was to raise exclusive breastfeeding rates at 3 months of age.
We costed the peer support intervention, which was offered to 406 breastfeeding mothers in Uganda. The average number of counselling visits was about 6 per woman. Annual financial and economic costs were collected in 2005-2008. Estimates were made of total project costs, average costs per mother counselled and average costs per peer counselling visit. Alternative intervention packages were explored in the sensitivity analysis. We also estimated the resources required to fund the scale up to district level, of a breastfeeding intervention programme within a public health sector model.
Annual project costs were estimated to be US$56,308. The largest cost component was peer supporter supervision, which accounted for over 50% of total project costs. The cost per mother counselled was US$139 and the cost per visit was US$26. The cost per week of EBF was estimated to be US$15 at 12 weeks post partum. We estimated that implementing an alternative package modelled on routine public health sector programmes can potentially reduce costs by over 60%. Based on the calculated average costs and annual births, scaling up modelled costs to district level would cost the public sector an additional US$1,813,000.
Exclusive breastfeeding promotion in sub-Saharan Africa is feasible and can be implemented at a sustainable cost. The results of this study can be incorporated in cost effectiveness analyses of exclusive breastfeeding promotion programmes in sub-Saharan Africa.
6 个月的纯母乳喂养（EBF）是推荐的婴儿喂养方式。通过个体同伴咨询为母亲提供支持已被证明可有效提高纯母乳喂养率。我们介绍了乌干达一项个体同伴支持干预措施的成本研究，该干预措施的目的是提高 3 个月龄婴儿的纯母乳喂养率。
我们对在乌干达为 406 名母乳喂养母亲提供的同伴支持干预措施进行了成本核算。每位女性接受的咨询访问次数平均约为 6 次。2005 年至 2008 年期间收集了年度财务和经济成本。计算了总项目成本、每位接受咨询的母亲的平均成本和每位同伴咨询访问的平均成本。在敏感性分析中探索了替代干预方案。我们还估计了在公共卫生部门模型内为母乳喂养干预计划扩大到区一级所需的资源。
年度项目成本估计为 56308 美元。最大的成本组成部分是同伴支持者监督，占项目总成本的 50%以上。每位接受咨询的母亲的成本为 139 美元，每次访问的成本为 26 美元。估计产后 12 周 EBF 每周的成本为 15 美元。我们估计，实施基于常规公共卫生部门计划的替代方案可能会降低超过 60%的成本。根据计算出的平均成本和每年的出生人数，将模拟成本扩大到区一级，公共部门将额外花费 181.3 万美元。
在撒哈拉以南非洲地区推广纯母乳喂养是可行的，并且可以以可持续的成本实施。本研究的结果可以纳入撒哈拉以南非洲地区纯母乳喂养推广计划的成本效益分析中。
