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Accountable Care Reforms Improve Women's And Children's Health In Nepal.
- Source :
-
Health Affairs . Nov2017, Vol. 36 Issue 11, p1965-1972. 8p. - Publication Year :
- 2017
-
Abstract
- Over the past decade the Ministry of Health of Nepal and the nonprofit Possible have partnered to deliver primary and secondary health care via a public-private partnership. We applied an accountable care framework that we previously developed to describe the delivery of their integrated reproductive, maternal, newborn, and child health services in the Achham district in rural Nepal. In a prospective pre-post study, examining pregnancies at baseline and 541 pregnancies in follow-up over the course of eighteen months, we found an improvement in population-level indicators linked to reducing maternal and infant mortality: receipt of four antenatal care visits (83 percent to 90 percent), institutional birth rate (81 percent to 93 percent), and the prevalence of postpartum contraception (19 percent to 47 percent). The intervention cost $3.40 per capita (at the population level) and $185 total per pregnant woman who received services. This study provides new analysis and evidence on the implementation of innovative care and financing models in resource-limited settings. [ABSTRACT FROM AUTHOR]
- Subjects :
- *CHILD health services
*CONFIDENCE intervals
*COST effectiveness
*HEALTH care reform
*INFANT mortality
*INTEGRATED health care delivery
*LONGITUDINAL method
*EVALUATION of medical care
*MATERNAL mortality
*PREGNANCY
*PROBABILITY theory
*QUALITY assurance
*QUESTIONNAIRES
*RESEARCH funding
*STATISTICAL sampling
*STATISTICS
*DATA analysis
*PRE-tests & post-tests
*DATA analysis software
*ELECTRONIC health records
*DESCRIPTIVE statistics
*ACCOUNTABLE care organizations
*MANN Whitney U Test
*EVALUATION
Subjects
Details
- Language :
- English
- ISSN :
- 02782715
- Volume :
- 36
- Issue :
- 11
- Database :
- Academic Search Index
- Journal :
- Health Affairs
- Publication Type :
- Academic Journal
- Accession number :
- 126146606
- Full Text :
- https://doi.org/10.1377/hlthaff.2017.0579