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Cost analysis of a mobile medical unit programme in Andhra Pradesh: a microcosting study protocol

INTRODUCTION: Offering primary healthcare through mobile medical units is an innovative way to reach the rural and the vulnerable population. With 292 mobile medical units, the Andhra Pradesh mobile medical unit (APMMU) programme is one of the largest health outreach programmes in rural India. Howev...

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Autores principales: Raikwar, Aakash Ashok, Dogra, Vishal, Giri, Ashish, Rathnam, Nitin, Hegde, Shailendra Kumar
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BMJ Publishing Group 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7871218/
https://www.ncbi.nlm.nih.gov/pubmed/33542036
http://dx.doi.org/10.1136/bmjopen-2020-038191
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author Raikwar, Aakash Ashok
Dogra, Vishal
Giri, Ashish
Rathnam, Nitin
Hegde, Shailendra Kumar
author_facet Raikwar, Aakash Ashok
Dogra, Vishal
Giri, Ashish
Rathnam, Nitin
Hegde, Shailendra Kumar
author_sort Raikwar, Aakash Ashok
collection PubMed
description INTRODUCTION: Offering primary healthcare through mobile medical units is an innovative way to reach the rural and the vulnerable population. With 292 mobile medical units, the Andhra Pradesh mobile medical unit (APMMU) programme is one of the largest health outreach programmes in rural India. However, India lacks reliable cost estimates for the health services delivered through mobile medical platforms. This study aims to estimate the unit cost of providing primary care services through mobile medical units in rural and tribal areas of Andhra Pradesh. METHOD AND ANALYSIS: Cost analysis of 12 mobile medical units will be undertaken. We will use the activity-based microcosting technique from the providers’ perspective. A bottom-up approach will be used for cost estimation. Standardised tools will be used to collect data on activities and resources, and on the costs. Capital investments and recurrent costs will be measured and evaluated. Average unit costs, along with 95% CIs, will be reported. Sensitivity analysis will assess the cost estimate uncertainties and other cost assumptions. ETHICS AND DISSEMINATION: Piramal Swasthya Management Research Institute’s ethics committee approved the study. The findings of the study will be disseminated through conference presentations, publications in peer-reviewed journals and advocacy with the national and state governments. This study will provide first-hand comprehensive cost estimates of provisioning primary healthcare services using mobile medical units in India.
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spelling pubmed-78712182021-02-18 Cost analysis of a mobile medical unit programme in Andhra Pradesh: a microcosting study protocol Raikwar, Aakash Ashok Dogra, Vishal Giri, Ashish Rathnam, Nitin Hegde, Shailendra Kumar BMJ Open Public Health INTRODUCTION: Offering primary healthcare through mobile medical units is an innovative way to reach the rural and the vulnerable population. With 292 mobile medical units, the Andhra Pradesh mobile medical unit (APMMU) programme is one of the largest health outreach programmes in rural India. However, India lacks reliable cost estimates for the health services delivered through mobile medical platforms. This study aims to estimate the unit cost of providing primary care services through mobile medical units in rural and tribal areas of Andhra Pradesh. METHOD AND ANALYSIS: Cost analysis of 12 mobile medical units will be undertaken. We will use the activity-based microcosting technique from the providers’ perspective. A bottom-up approach will be used for cost estimation. Standardised tools will be used to collect data on activities and resources, and on the costs. Capital investments and recurrent costs will be measured and evaluated. Average unit costs, along with 95% CIs, will be reported. Sensitivity analysis will assess the cost estimate uncertainties and other cost assumptions. ETHICS AND DISSEMINATION: Piramal Swasthya Management Research Institute’s ethics committee approved the study. The findings of the study will be disseminated through conference presentations, publications in peer-reviewed journals and advocacy with the national and state governments. This study will provide first-hand comprehensive cost estimates of provisioning primary healthcare services using mobile medical units in India. BMJ Publishing Group 2021-02-04 /pmc/articles/PMC7871218/ /pubmed/33542036 http://dx.doi.org/10.1136/bmjopen-2020-038191 Text en © Author(s) (or their employer(s)) 2020. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. http://creativecommons.org/licenses/by-nc/4.0/ http://creativecommons.org/licenses/by-nc/4.0/This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/.
spellingShingle Public Health
Raikwar, Aakash Ashok
Dogra, Vishal
Giri, Ashish
Rathnam, Nitin
Hegde, Shailendra Kumar
Cost analysis of a mobile medical unit programme in Andhra Pradesh: a microcosting study protocol
title Cost analysis of a mobile medical unit programme in Andhra Pradesh: a microcosting study protocol
title_full Cost analysis of a mobile medical unit programme in Andhra Pradesh: a microcosting study protocol
title_fullStr Cost analysis of a mobile medical unit programme in Andhra Pradesh: a microcosting study protocol
title_full_unstemmed Cost analysis of a mobile medical unit programme in Andhra Pradesh: a microcosting study protocol
title_short Cost analysis of a mobile medical unit programme in Andhra Pradesh: a microcosting study protocol
title_sort cost analysis of a mobile medical unit programme in andhra pradesh: a microcosting study protocol
topic Public Health
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7871218/
https://www.ncbi.nlm.nih.gov/pubmed/33542036
http://dx.doi.org/10.1136/bmjopen-2020-038191
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