Cost and Effective Analysis of the LINKAGES ... - Linkages Project

More documents

Recommendations

Info

Annex A: List of All LINKAGES Activities .................................................................................... 29Annex B: Detailed Cost and Indicator Data.................................................................................... 30Annex C: List of MCH Centers in Year 2002 ................................................................................. 40LINKAGES Project/AEDContents
Executive SummaryIntroductionThe Lactational Amenorrhea Method (LAM), which is based on the natural infertility resulting fromcertain patterns of breastfeeding, is a culturally acceptable method of family planning in Jordan. LAMsupports both optimal infant feeding and child spacing.In February 1998 LINKAGES/Jordan began its LAM Project with the support of USAID funds tofurther integrate and expand the offer of LAM services into the Ministry of Health (MOH)/Maternaland Child Health (MCH) family planning service delivery system. The key objective of the programis to increase acceptance and quality offering of LAM as a transition to the use of other moderncontraceptive methods.The project has focused on building the capacity of the MCH to promote acceptance of exclusivebreastfeeding and LAM through policy and advocacy, training of health providers at MCH clinics inthe 12 governorates, supervision of counseling, development and dissemination of breastfeeding andLAM materials and media spots to counsel and inform clients, establishment of mother-to-mothersupport groups, and monitoring and evaluation of practices at the sentinel sites.In an effort to better understand program effectiveness, LINKAGES has initiated a series of studies toestimate the costs and cost-effectiveness of program activities in multiple field offices. To date, acosting methodology applicable across countries and programs has been developed, and studies ofcosts in Ghana and Madagascar have been completed; an analysis is currently being completed ofprogram costs in Zambia. This cost effectiveness study of LINKAGES/Jordan LAM Project wasundertaken to provide comprehensive estimates of the costs of integrating LAM into the MOH/MCHfamily planning service delivery system.The study focuses on LINKAGES’ LAM activities in Jordan from December 2001 – December 2002.By this time the start-up phase of the project was completed and implementation activities wereunderway. The selection of this particular period allowed for a relatively clear-cut analysis of thereplication costs associated with effective LAM counseling.The specific objectives of this study are:• to analyze the cost-effectiveness of LINKAGES’ LAM activities in Jordan fromDecember 2001 – December 2002; and• to determine the cost implications of replicating these activities in the other countries inthe region or similar programs in Jordan.The specific questions addressed in this study are:• How do costs and outcomes compare across the three regions of Jordan – North, Center,and South?• What are the determinants of costs and cost effectiveness across the regions?• What would it cost to replicate these activities and is it cost effective?• How can LINKAGES improve its cost effectiveness?LINKAGES Project/AED Executive Summary i
Page 1 and 2: Cost and Effective Analysisof the L
Page 5 and 6: AbstractThis study analyzes cost ef
Page 7: ContentsExecutive Summary .........
Page 11 and 12: activities conducted in support of
Page 13 and 14: activities will allow spreading tho
Page 15 and 16: 1. Background to the StudyIn an eff
Page 17 and 18: 3. Description of LINKAGES and Part
Page 19: of MCH services are mostly women of
Page 22 and 23: the administrative and overhead str
Page 24 and 25: activities were implemented. This i
Page 26 and 27: 4.7. Comparability and Applicabilit
Page 29 and 30: 5. Financial Data Collection5.1. LI
Page 31 and 32: 6. FindingsThe findings presented a
Page 33 and 34: Table 6: Relationship Between Costs
Page 35 and 36: 6.2.3. Cost Effectiveness and Targe
Page 37 and 38: Table 11 shows the classification o
Page 39 and 40: some portion of the costs are fixed
Page 41 and 42: 7. Discussion and Conclusions7.1. R
Page 43 and 44: Annex A: List of All LINKAGES Activ
Page 45 and 46: LINKAGES' LAM Activity Costs by Ele
Page 47 and 48: Detailed MOH/MCH' LAM Activity Cost
Page 49 and 50: Percentage of Each Activity Allocat
Page 51 and 52: III. LAM Indicator Data by RegionLA
Page 53 and 54: LAM User Rate Calculations - CENTER
Page 55 and 56: 36. Al-Muwaqar37. Al-Faisaliya (Eas
Page 57 and 58: 118. Southern Al-Twa’l (Al-Dayat)
Page 59 and 60:
196. Jiffien197. Izma’lBani Kinan
Page 61 and 62:
Kayak Health Directorate276. Al-Rab
Page 63:
LINKAGES Project/AEDAnnex B: Detail
show all

Cost and Effective Analysis of the LINKAGES ... - Linkages Project

You also want an ePaper? Increase the reach of your titles

Delete template?

Save as template?