Costs of promoting exclusive breastfeeding at community level in three sites in South Africa.

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Fältnamn	Indikatorer	Metadata
000		03563naa a2200397 4500
001		oai:DiVA.org:uu-312314
003		SwePub
008		170109s2014 \| \|\|\|\|\|\|\|\|\|\|\|000 \|\|eng\|
024	7	a https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-3123142 URI
024	7	a https://doi.org/10.1371/journal.pone.00797842 DOI
040		a (SwePub)uu
041		a engb eng
042		9 SwePub
072	7	a ref2 swepub-contenttype
072	7	a art2 swepub-publicationtype
100	1	a Nkonki, Lungiswa Leonora4 aut
245	1 0	a Costs of promoting exclusive breastfeeding at community level in three sites in South Africa.
264		c 2014-01-10
264	1	b Public Library of Science (PLoS),c 2014
338		a print2 rdacarrier
500		a Eva-Charlotte Ekström is a part of the "Promise-EBF Study Group". For complete list of authors see http://dx.doi.org/
520		a BACKGROUND: Community-based peer support has been shown to be effective in improving exclusive breastfeeding rates in a variety of settings.METHODS: We conducted a cost analysis of a community cluster randomised-controlled trial (Promise-EBF), aimed at promoting exclusive infant feeding in three sites in South Africa. The costs were considered from the perspective of health service providers. Peer supporters in this trial visited women to support exclusive infant feeding, once antenatally and four times postpartum.RESULTS: The total economic cost of the Promise-EBF intervention was US$393 656, with average costs per woman and per visit of US$228 and US$52, respectively. The average costs per woman and visit in an operational 'non research' scenario were US$137 and US$32 per woman and visit, respectively. Investing in the promotion of exclusive infant feeding requires substantial financial commitment from policy makers. Extending the tasks of multi-skilled community health workers (CHWs) to include promoting exclusive infant feeding is a potential option for reducing these costs. In order to avoid efficiency losses, we recommend that the time requirements for delivering the promotion of exclusive infant feeding are considered when integrating it within the existing activities of CHWs.DISCUSSION: This paper focuses on interventions for exclusive infant feeding, but its findings more generally illustrate the importance of documenting and quantifying factors that affect the feasibility and sustainability of community-based interventions, which are receiving increased focus in low income settings.
650	7	a MEDICIN OCH HÄLSOVETENSKAPx Hälsovetenskapx Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi0 (SwePub)303022 hsv//swe
650	7	a MEDICAL AND HEALTH SCIENCESx Health Sciencesx Public Health, Global Health, Social Medicine and Epidemiology0 (SwePub)303022 hsv//eng
700	1	a Daviaud, Emmanuelle4 aut
700	1	a Jackson, Debra4 aut
700	1	a Chola, Lumbwe4 aut
700	1	a Doherty, Tanya4 aut
700	1	a Chopra, Mickey4 aut
700	1	a Robberstad, Bjarne4 aut
700	1	a Ekström, Eva-Charlotteu Uppsala universitet,Internationell mödra- och barnhälsovård (IMCH)4 ctb0 (Swepub:uu)loeks254
710	2	a Uppsala universitetb Internationell mödra- och barnhälsovård (IMCH)4 org
773	0	t PLOS ONEd : Public Library of Science (PLoS)g 9:1q 9:1x 1932-6203
856	4	u https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0079784&type=printable
856	4 8	u https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-312314
856	4 8	u https://doi.org/10.1371/journal.pone.0079784

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Av författaren/redakt...: Nkonki, Lungiswa ...; Daviaud, Emmanue ...; Jackson, Debra; Chola, Lumbwe; Doherty, Tanya; Chopra, Mickey; visa fler...; Robberstad, Bjar ...; Ekström, Eva-Cha ...; visa färre...

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