Tags

Type your tag names separated by a space and hit enter

Economic Analysis of Delivering Postpartum Intrauterine Contraceptive Device Services in India.
Indian J Community Med 2019 Apr-Jun; 44(2):147-151IJ

Abstract

Introduction

We estimated the unit costs for implementing postpartum intrauterine contraceptive device (PPIUCD) services from the perspective of both health system and development agencies.

Methodology

Seven districts from two Indian states, i.e., Uttarakhand (UK) and Madhya Pradesh (MP), were selected to study the cost of PPIUCD service. Data on costs incurred both by health system and development agencies for PPIUCD service were collected. Unit costs were estimated for providing PPIUCD and IUCD services by state and district level of care in public health-care system. We also estimated unit cost per couple-year protected (CYP) by the level of the health facility.

Results

We found that the unit cost per PPIUCD insertion including all costs, i.e., for service delivery and program support, was INR 522 ($8.7) and INR 502 ($8.4) in MP and UK, respectively. Similarly, the unit costs per interval IUCD insertion were INR 287 ($4.8) in UK and INR 281 ($4.7) in MP. Development partners have a share of >50% in overall costs. From a health system's perspective, PPIUCD and interval IUCD cost per CYP at the level of district hospital were INR 440 ($7.3) and INR 449 ($7.5), respectively.

Conclusions

In India, PPIUCD, being a low-cost procedure, should be considered as a primary strategy targeted toward pregnancy spacing over other contraceptory methods.

Authors+Show Affiliations

School of Public Health, Post Graduate Institute of Medical Education and Research, Chandigarh, India.School of Public Health, Post Graduate Institute of Medical Education and Research, Chandigarh, India.School of Public Health, Post Graduate Institute of Medical Education and Research, Chandigarh, India.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

31333294

Citation

Bahuguna, Pankaj, et al. "Economic Analysis of Delivering Postpartum Intrauterine Contraceptive Device Services in India." Indian Journal of Community Medicine : Official Publication of Indian Association of Preventive & Social Medicine, vol. 44, no. 2, 2019, pp. 147-151.
Bahuguna P, Khanduja P, Prinja S. Economic Analysis of Delivering Postpartum Intrauterine Contraceptive Device Services in India. Indian J Community Med. 2019;44(2):147-151.
Bahuguna, P., Khanduja, P., & Prinja, S. (2019). Economic Analysis of Delivering Postpartum Intrauterine Contraceptive Device Services in India. Indian Journal of Community Medicine : Official Publication of Indian Association of Preventive & Social Medicine, 44(2), pp. 147-151. doi:10.4103/ijcm.IJCM_253_18.
Bahuguna P, Khanduja P, Prinja S. Economic Analysis of Delivering Postpartum Intrauterine Contraceptive Device Services in India. Indian J Community Med. 2019;44(2):147-151. PubMed PMID: 31333294.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Economic Analysis of Delivering Postpartum Intrauterine Contraceptive Device Services in India. AU - Bahuguna,Pankaj, AU - Khanduja,Puneet, AU - Prinja,Shankar, PY - 2019/7/24/entrez PY - 2019/7/25/pubmed PY - 2019/7/25/medline KW - Couple-year protected KW - health-care costing KW - intrauterine contraceptive device KW - postpartum intrauterine contraceptive device KW - unit cost SP - 147 EP - 151 JF - Indian journal of community medicine : official publication of Indian Association of Preventive & Social Medicine JO - Indian J Community Med VL - 44 IS - 2 N2 - Introduction: We estimated the unit costs for implementing postpartum intrauterine contraceptive device (PPIUCD) services from the perspective of both health system and development agencies. Methodology: Seven districts from two Indian states, i.e., Uttarakhand (UK) and Madhya Pradesh (MP), were selected to study the cost of PPIUCD service. Data on costs incurred both by health system and development agencies for PPIUCD service were collected. Unit costs were estimated for providing PPIUCD and IUCD services by state and district level of care in public health-care system. We also estimated unit cost per couple-year protected (CYP) by the level of the health facility. Results: We found that the unit cost per PPIUCD insertion including all costs, i.e., for service delivery and program support, was INR 522 ($8.7) and INR 502 ($8.4) in MP and UK, respectively. Similarly, the unit costs per interval IUCD insertion were INR 287 ($4.8) in UK and INR 281 ($4.7) in MP. Development partners have a share of >50% in overall costs. From a health system's perspective, PPIUCD and interval IUCD cost per CYP at the level of district hospital were INR 440 ($7.3) and INR 449 ($7.5), respectively. Conclusions: In India, PPIUCD, being a low-cost procedure, should be considered as a primary strategy targeted toward pregnancy spacing over other contraceptory methods. SN - 0970-0218 UR - https://www.unboundmedicine.com/medline/citation/31333294/Economic_Analysis_of_Delivering_Postpartum_Intrauterine_Contraceptive_Device_Services_in_India_ L2 - http://www.ijcm.org.in/article.asp?issn=0970-0218;year=2019;volume=44;issue=2;spage=147;epage=151;aulast=Bahuguna DB - PRIME DP - Unbound Medicine ER -