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Projecting the cost of essential services in Bangladesh
Author(s) -
Ensor Tim,
Ali Liaquat,
Hossain Atia,
Ferdousi Shawkat
Publication year - 2003
Publication title -
the international journal of health planning and management
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.672
H-Index - 41
eISSN - 1099-1751
pISSN - 0749-6753
DOI - 10.1002/hpm.701
Subject(s) - context (archaeology) , order (exchange) , service (business) , risk analysis (engineering) , business , rural area , population , rural population , isolation (microbiology) , actuarial science , environmental economics , operations management , computer science , public economics , economics , environmental health , medicine , geography , marketing , finance , archaeology , pathology , microbiology and biotechnology , biology
Utilizing a study of the costs of providing essential services in rural areas in Bangladesh projections of the cost of expanding services to the entire rural population are derived. These estimates are based on the current system of primary care, the demographic structure of the population and normatives for desired utilization. Scenarios make use of known demographic characteristics of average rural areas together with information on disease prevalence. The estimates highlight a number of difficulties involved in deriving costs and in comparing the cost‐effectiveness of service provision. The integrated nature of much primary care, both in terms of the technical exploitation of joint costs and clinical diagnostic and treatment protocols, means that treating services in isolation is likely to lead to inexact estimates of service cost. The context of any costs derived is required in order to make comparisons. Copyright © 2003 John Wiley & Sons, Ltd.