Authors: Agnes Nanyonjo, Benson Bagorogoza, Frida Kasteng, Godfrey Ayebale, Fredrick Makumbi, Goran Tomson, Karin Kallander
Integrated community case management (iCCM) relies on community health workers (CHWs) managing children with malaria, pneumonia, diarrhoea, and referring children when management is not possible. This study sought to establish the cost per sick child referred to seek care from a higher-level health facility by a CHW and to estimate caregivers’ willingness to pay (WTP) for a referral.
Results showed that the mean WTP for referral was higher than the average out of pocket expenditure. This, along with suboptimal referral completion, points to barriers in access to higher-level facilities as te primary cause of low referral. Community mobilization for uptake is necessary if the policy of referring children to the nearest health facility is to be effective.
Resource Topic: CHW Role, Community Case Management, Community Involvement, Maternal, Newborn and Child Health, Referral
Resource Type: Case studies, Journal articles, Research
Year: 2015
Region: Sub-Saharan Africa (SSA)
Country: Uganda
Publisher May Restrict Access: No