Epidemiology Unit, Faculty of Medicine, Prince of Songkla University, Hat Yai, Songkhla 90110, Thailand.
Pan Afr Med J. 2021 Jun 7;39:109. doi: 10.11604/pamj.2021.39.109.22851. eCollection 2021.
the objective was to describe establishment cost, essential services provided and operating costs of maternity waiting homes (MWH) in Ethiopia.
a cross-sectional study was carried out from December 2017 to June 2018 in eight health facilities with maternity waiting homes (MWH) in the Gurage Zone of Ethiopia. MWH users exit interviews and observational checklists were used to collect data on essential services provided. Cost-related data were retrieved from relevant records in the health facilities.
most clinical services and basic amenities were available and provided for MWH users. The average capital costs of a MWH were $2,245 US with fixed costs of $1,476 US per year. The personnel cost for a MWH was $1,439 US per year. The average annual running cost of a MWH was $1,303 US per year. The average estimated MWH utilization and delivery costs was $16.9 US per woman.
most MWHs provided essential clinical services and basic amenities. The majority of the cost of a MWH was attributed to building construction costs. If building cost is annualized, the unit cost of a MWH service is in an acceptable range which encourage government considering expansion of the service in rural area.
本研究旨在描述埃塞俄比亚母婴等候之家(MWH)的建立成本、提供的基本服务和运营成本。
2017 年 12 月至 2018 年 6 月,在埃塞俄比亚古拉格地区的 8 个设有母婴等候之家的卫生设施中进行了一项横断面研究。采用母婴等候之家使用者退出访谈和观察检查表收集有关基本服务提供的数据。与成本相关的数据从卫生设施的相关记录中检索。
MWH 为使用者提供了大多数临床服务和基本设施。MWH 的平均资本成本为 2245 美元,固定成本为每年 1476 美元。MWH 的人员成本为每年 1439 美元。MWH 的年运行成本平均为每年 1303 美元。MWH 的平均估计使用率和分娩成本为每位妇女 16.9 美元。
大多数母婴等候之家提供了基本的临床服务和基本设施。MWH 的大部分成本归因于建筑建设成本。如果将建筑成本按年摊销,MWH 服务的单位成本在可接受的范围内,这鼓励政府考虑在农村地区扩大该服务。