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Cost-effectiveness of village health worker-led integrated community case management (iCCM) versus health facility based management for childhood illnesses in rural southwestern Uganda

June 10, 2024 By

Authors: Edgar Mulogo, Moses Ntaro, Andrew Wesuta, Jane Namusisi, Peter Kawungezi, Vincent Batwala, Michael Matte

This study compared the cost-effectiveness of village health worker (VHW)-led integrated community case management (iCCM) for childhood illness with health facility-based services in rural southwestern Uganda. It found that while health facility-based services were less costly per child treated, VHW-led iCCM was more effective in treating children for malaria, pneumonia, and diarrhoea. The Incremental Cost-Effectiveness Ratio (ICER) was calculated as US$6.67 per child treated appropriately. Considering Uganda’s public health expenditure per capita as a threshold, VHW-led iCCM is a cost-effective strategy and should be enhanced and sustained to complement health facility-based services for childhood illness treatment in rural areas.

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Resource Topic: Child health

Resource Type: Evaluation

Year: 2024

Region: Sub-Saharan Africa (SSA)

Country: Uganda

Publisher May Restrict Access: No

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