The cost-savings of implementing kangaroo mother care in Nicaragua
OBJECTIVE: To examine the costs of implementing kangaroo mother care (KMC) in a referral hospital in Nicaragua, including training, implementation, and ongoing operating costs, and to estimate the economic impact on the Nicaraguan health system if KMC were implemented in other maternity hospitals in...
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ftdoajarticles:oai:doaj.org/article:9b58cce3e443425f80474178502eb530 2023-05-15T15:12:03+02:00 The cost-savings of implementing kangaroo mother care in Nicaragua Edward I. Broughton Ivonne Gomez Nieves Sanchez Concepción Vindell 2013-09-01T00:00:00Z https://doaj.org/article/9b58cce3e443425f80474178502eb530 EN ES PT eng spa por Pan American Health Organization http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S1020-49892013000900005&lng=en&tlng=en https://doaj.org/toc/1020-4989 1020-4989 https://doaj.org/article/9b58cce3e443425f80474178502eb530 Revista Panamericana de Salud Pública, Vol 34, Iss 3, Pp 176-182 (2013) Desarrollo infantil nacimiento prematuro Nicaragua Medicine R Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 article 2013 ftdoajarticles 2022-12-31T13:02:53Z OBJECTIVE: To examine the costs of implementing kangaroo mother care (KMC) in a referral hospital in Nicaragua, including training, implementation, and ongoing operating costs, and to estimate the economic impact on the Nicaraguan health system if KMC were implemented in other maternity hospitals in the country. METHODS: After receiving clinical training in KMC, the implementation team trained their colleagues, wrote guidelines for clinicians and education material for parents, and ensured adherence to the new guidelines. The intervention began September 2010 The study compared data on infant weight, medication use, formula consumption, incubator use, and hospitalization for six months before and after implementation. Cost data were collected from accounting records of the implementers and health ministry formularies. RESULTS: A total of 46 randomly selected infants before implementation were compared to 52 after implementation. Controlling for confounders, neonates after implementation had lower lengths of hospitalization by 4.64 days (P = 0.017) and 71% were exclusively breastfed (P < 0.001). The intervention cost US$ 23 113 but the money saved with shorter hospitalization, elimination of incubator use, and lower antibiotic and infant formula costs made up for this expense in 1 - 2 months. Extending KMC to 12 other facilities in Nicaragua is projected to save approximately US$ 166 000 (based on the referral hospital incubator use estimate) or US$ 233 000 after one year (based on the more conservative incubator use estimate). CONCLUSIONS: Treating premature and low-birth-weight infants in Nicaragua with KMC implemented as a quality improvement program saves money within a short period even without considering the beneficial health effects of KMC. Implementation in more facilities is strongly recommended. Article in Journal/Newspaper Arctic Directory of Open Access Journals: DOAJ Articles Arctic |
institution |
Open Polar |
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Directory of Open Access Journals: DOAJ Articles |
op_collection_id |
ftdoajarticles |
language |
English Spanish Portuguese |
topic |
Desarrollo infantil nacimiento prematuro Nicaragua Medicine R Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 |
spellingShingle |
Desarrollo infantil nacimiento prematuro Nicaragua Medicine R Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 Edward I. Broughton Ivonne Gomez Nieves Sanchez Concepción Vindell The cost-savings of implementing kangaroo mother care in Nicaragua |
topic_facet |
Desarrollo infantil nacimiento prematuro Nicaragua Medicine R Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 |
description |
OBJECTIVE: To examine the costs of implementing kangaroo mother care (KMC) in a referral hospital in Nicaragua, including training, implementation, and ongoing operating costs, and to estimate the economic impact on the Nicaraguan health system if KMC were implemented in other maternity hospitals in the country. METHODS: After receiving clinical training in KMC, the implementation team trained their colleagues, wrote guidelines for clinicians and education material for parents, and ensured adherence to the new guidelines. The intervention began September 2010 The study compared data on infant weight, medication use, formula consumption, incubator use, and hospitalization for six months before and after implementation. Cost data were collected from accounting records of the implementers and health ministry formularies. RESULTS: A total of 46 randomly selected infants before implementation were compared to 52 after implementation. Controlling for confounders, neonates after implementation had lower lengths of hospitalization by 4.64 days (P = 0.017) and 71% were exclusively breastfed (P < 0.001). The intervention cost US$ 23 113 but the money saved with shorter hospitalization, elimination of incubator use, and lower antibiotic and infant formula costs made up for this expense in 1 - 2 months. Extending KMC to 12 other facilities in Nicaragua is projected to save approximately US$ 166 000 (based on the referral hospital incubator use estimate) or US$ 233 000 after one year (based on the more conservative incubator use estimate). CONCLUSIONS: Treating premature and low-birth-weight infants in Nicaragua with KMC implemented as a quality improvement program saves money within a short period even without considering the beneficial health effects of KMC. Implementation in more facilities is strongly recommended. |
format |
Article in Journal/Newspaper |
author |
Edward I. Broughton Ivonne Gomez Nieves Sanchez Concepción Vindell |
author_facet |
Edward I. Broughton Ivonne Gomez Nieves Sanchez Concepción Vindell |
author_sort |
Edward I. Broughton |
title |
The cost-savings of implementing kangaroo mother care in Nicaragua |
title_short |
The cost-savings of implementing kangaroo mother care in Nicaragua |
title_full |
The cost-savings of implementing kangaroo mother care in Nicaragua |
title_fullStr |
The cost-savings of implementing kangaroo mother care in Nicaragua |
title_full_unstemmed |
The cost-savings of implementing kangaroo mother care in Nicaragua |
title_sort |
cost-savings of implementing kangaroo mother care in nicaragua |
publisher |
Pan American Health Organization |
publishDate |
2013 |
url |
https://doaj.org/article/9b58cce3e443425f80474178502eb530 |
geographic |
Arctic |
geographic_facet |
Arctic |
genre |
Arctic |
genre_facet |
Arctic |
op_source |
Revista Panamericana de Salud Pública, Vol 34, Iss 3, Pp 176-182 (2013) |
op_relation |
http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S1020-49892013000900005&lng=en&tlng=en https://doaj.org/toc/1020-4989 1020-4989 https://doaj.org/article/9b58cce3e443425f80474178502eb530 |
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1766342802158911488 |