tailieunhanh - Báo cáo y học: "ost recovery of NGO primary health care facilities: a case study in Bangladesh"

Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học Critical Care giúp cho các bạn có thêm kiến thức về ngành y học đề tài: Cost recovery of NGO primary health care facilities: a case study in Bangladesh. | Alam and Ahmed Cost Effectiveness and Resource Allocation 2010 8 12 http content 8 1 12 COST EFFECTIVENESS AND RESOURCE ALLOCATION RESEARCH Open Access Cost recovery of NGO primary health care facilities a case study in Bangladesh Khurshid Alam 1 2 and Shakil Ahmed3 Abstract Background Little is known about the cost recovery of primary health care facilities in Bangladesh. This study estimated the cost recovery of a primary health care facility run by Building Resources Across Community BRAC a large NGO in Bangladesh for the period of July 2004 - June 2005. This health facility is one of the seven upgraded BRAC facilities providing emergency obstetric care and is typical of the government and private primary health care facilities in Bangladesh. Given the current maternal and child mortality in Bangladesh and the challenges to addressing health-related Millennium Development Goal MDG targets the financial sustainability of such facilities is crucial. Methods The study was designed as a case study covering a single facility. The methodology was based on the ingredient approach using the allocation techniques by inpatient and outpatient services. Cost recovery of the facility was estimated from the provider s perspective. The value of capital items was annualized using 5 discount rate and its market price of 2004 replacement value . Sensitivity analysis was done using 3 discount rate. Results The cost recovery ratio of the BRAC primary care facility was 59 and if excluding all capital costs it increased to 72 . Of the total costs 32 was for personnel while drugs absorbed 18 . Capital items were17 of total costs while operational cost absorbed 12 . Three-quarters of the total cost was variable costs. Inpatient services contributed 74 of total revenue in exchange of 10 of total utilization. An average cost per patient was US 10 while it was US 67 for inpatient and US 4 for outpatient. Conclusion The cost recovery of this NGO primary care .