Abstract：
BACKGROUND:Delivery of community-based prevention services for HIV, malaria, and diarrhea is a major priority and challenge in rural Africa. Integrated delivery campaigns may offer a mechanism to achieve high coverage and efficiency. METHODS:We quantified the resources and costs to implement a large-scale integrated prevention campaign in Lurambi Division, Western Province, Kenya that reached 47,133 individuals (and 83% of eligible adults) in 7 days. The campaign provided HIV testing, condoms, and prevention education materials; a long-lasting insecticide-treated bed net; and a water filter. Data were obtained primarily from logistical and expenditure data maintained by implementing partners. We estimated the projected cost of a Scaled-Up Replication (SUR), assuming reliance on local managers, potential efficiencies of scale, and other adjustments. RESULTS:The cost per person served was $41.66 for the initial campaign and was projected at $31.98 for the SUR. The SUR cost included 67% for commodities (mainly water filters and bed nets) and 20% for personnel. The SUR projected unit cost per person served, by disease, was $6.27 for malaria (nets and training), $15.80 for diarrhea (filters and training), and $9.91 for HIV (test kits, counseling, condoms, and CD4 testing at each site). CONCLUSIONS:A large-scale, rapidly implemented, integrated health campaign provided services to 80% of a rural Kenyan population with relatively low cost. Scaling up this design may provide similar services to larger populations at lower cost per person.
journal_name
BMC Health Serv Resjournal_title
BMC health services researchauthors
Kahn JG,Harris B,Mermin JH,Clasen T,Lugada E,Grabowksy M,Vestergaard Frandsen M,Garg Ndoi
10.1186/1472-6963-11-346subject
Has Abstractpub_date
2011-12-21 00:00:00pages
346issn
1472-6963pii
1472-6963-11-346journal_volume
11pub_type
杂志文章abstract：BACKGROUND:There is a broad consensus that addictive behaviors tend to be chronic and relapsing. But for field studies of substance users, successfully tracking, locating, and following up with a representative sample of subjects is a challenge. METHODS:The purpose of this paper is to provide a general overview of how...
journal_title：BMC health services research
pub_type： 杂志文章
doi：10.1186/s12913-016-1630-0
更新日期：2016-08-10 00:00:00
abstract：BACKGROUND:Despite efforts by professional societies to reduce low value care, many reports indicate that unnecessary tests, such as nuclear myocardial perfusion imaging (MPI), are commonly used in contemporary practice. The degree to which lack of awareness and professional liability concerns drive these behaviors war...
journal_title：BMC health services research
pub_type： 杂志文章
doi：10.1186/s12913-017-2510-y
更新日期：2017-08-11 00:00:00
abstract：BACKGROUND:Although the value of telemonitoring in heart failure patients is increasingly studied, little is known about the value of the separate components of telehealth: ICT guided disease management and telemonitoring. The aim of this study is to investigate the value of telemonitoring added to ICT guided disease m...
journal_title：BMC health services research
pub_type： 杂志文章,多中心研究,随机对照试验
doi：10.1186/1472-6963-11-167
更新日期：2011-07-13 00:00:00
abstract：BACKGROUND:The ineffective implementation of evidence based practice guidelines can mean that the best health outcomes are not achieved. This study examined the barriers and enablers to the uptake and implementation of the new bi-national (Australia and New Zealand) antenatal corticosteroid clinical practice guidelines...
journal_title：BMC health services research
pub_type： 杂志文章,多中心研究
doi：10.1186/s12913-016-1858-8
更新日期：2016-10-28 00:00:00
abstract：BACKGROUND:The role of a pharmacist in primary health care settings of Pakistan is still obscure. Thus, we aimed to demonstrate the pharmacist-led improvements in glycemic, blood pressure and lipid controls in type 2 diabetes mellitus (T2DM) patients of Lahore, Pakistan. METHODS:The first open label, randomized contro...
journal_title：BMC health services research
pub_type： 杂志文章,随机对照试验
doi：10.1186/s12913-019-4274-z
更新日期：2019-06-24 00:00:00
abstract：BACKGROUND:Along with economic growth and living standard improvement, hypertension has become one of the most prevalent chronic diseases in China. Self-reported measures and tested measures of hypertension may differ significantly due to the low awareness of prevalence. The objective of this study is to figure out whe...
journal_title：BMC health services research
pub_type： 杂志文章
doi：10.1186/s12913-019-4289-5
更新日期：2019-07-01 00:00:00
abstract：BACKGROUND:Hospitals in European countries apply a wide range of quality improvement strategies. Knowledge of the effectiveness of these strategies, implemented as part of an overall hospital quality improvement system, is limited. METHODS/DESIGN:We propose to study the relationships among organisational quality impro...
journal_title：BMC health services research
pub_type： 杂志文章
doi：10.1186/1472-6963-10-281
更新日期：2010-09-24 00:00:00
abstract：BACKGROUND:In average-risk individuals aged 50 to 75 years, there is no difference in life-years gained when comparing colonoscopy every 10 years vs. annual fecal immunochemical testing (FIT) for colorectal cancer screening. Little is known about the preferences of patients when they have experienced both tests. METHO...
journal_title：BMC health services research
pub_type： 杂志文章
doi：10.1186/s12913-015-0841-0
更新日期：2015-04-23 00:00:00
abstract：BACKGROUND:Research shows us that auditory hallucinations or 'hearing voices' may be more common than previously thought, particularly in childhood and adolescents. Importantly, not all individuals are affected negatively by their voice hearing experiences, yet child and adolescent mental health services (CAMHS) have t...
journal_title：BMC health services research
pub_type： 杂志文章
doi：10.1186/s12913-014-0527-z
更新日期：2014-11-05 00:00:00
abstract：BACKGROUND:The definition of community health outreach to promote the health of vulnerable populations depends heavily on the particulars of the given health project and community. There is no consistency in the definitions attached to the concept itself. Our study aimed to clarify the general definition of community h...
journal_title：BMC health services research
pub_type： 杂志文章,评审
doi：10.1186/s12913-020-05266-7
更新日期：2020-05-13 00:00:00
abstract：BACKGROUND:There has been evidence in recent years that people with intellectual disabilities in acute hospitals are at risk of preventable deterioration due to failures of the healthcare services to implement the reasonable adjustments they need. The aim of this paper is to explore the challenges in monitoring and pre...
journal_title：BMC health services research
pub_type： 杂志文章,多中心研究
doi：10.1186/1472-6963-14-432
更新日期：2014-09-24 00:00:00
abstract：BACKGROUND:Advance care planning (ACP) is the process of ongoing communication among patients, family and health care professionals regarding what plans for future care are preferred in the event that patients become unable to make their own decisions. Clinicians play an important role in ACP as both initiators and dec...
journal_title：BMC health services research
pub_type： 杂志文章
doi：10.1186/s12913-019-4192-0
更新日期：2019-06-07 00:00:00
abstract：BACKGROUND:The World Health Organisation has designed a pregnancy registry to investigate the effect of maternal drug use on pregnancy outcomes in resource-limited settings. In this sentinel surveillance system, detailed health and drug use data are prospectively collected from the first antenatal clinic visit until de...
journal_title：BMC health services research
pub_type： 杂志文章
doi：10.1186/s12913-014-0525-1
更新日期：2014-10-31 00:00:00
abstract：BACKGROUND:In 2012, approximately 14 million new cases of cancer were diagnosed. As a result of advances in treatment, screening and prevention programmes the number of people surviving cancer globally is also increasing. The growing understanding of the diversity and scale of the need for support, compounded by the in...
journal_title：BMC health services research
pub_type： 杂志文章,多中心研究
doi：10.1186/s12913-018-3373-6
更新日期：2018-07-18 00:00:00
abstract：BACKGROUND:Medication errors have been reported to be a leading cause of death in hospitalized patients. In this study we focused on identifying and quantifying errors in the handwritten drug ordering and dispensing documentation processes which could possibly lead to adverse drug events. METHODS:We studied 1,934 orde...
journal_title：BMC health services research
pub_type： 杂志文章
doi：10.1186/1472-6963-11-199
更新日期：2011-08-18 00:00:00
abstract：BACKGROUND:Several approaches to medication optimisation by identifying drug-related problems in older people have been described. Although some interventions have shown reductions in drug-related problems (DRPs), evidence supporting the effectiveness of medication reviews on clinical and economic outcomes is lacking. ...
journal_title：BMC health services research
pub_type： 杂志文章,多中心研究,随机对照试验
doi：10.1186/s12913-020-5056-3
更新日期：2020-03-17 00:00:00
abstract：BACKGROUND:A summary utility index is useful for deriving quality-adjusted life years (QALY) for cost analyses or disability weights for burden of disease studies. However, many quality of life instruments provide descriptive profiles rather than a single utility index. Transforming quality of life instruments to a uti...
journal_title：BMC health services research
pub_type： 杂志文章
doi：10.1186/1472-6963-6-96
更新日期：2006-08-07 00:00:00
abstract：BACKGROUND:There are few studies comparing pharmaceutical costs and the use of medications between immigrants and the autochthonous population in Spain. The objective of this study is to evaluate whether there are differences in pharmaceutical consumption and expenses between immigrant and Spanish-born populations. ME...
journal_title：BMC health services research
pub_type： 杂志文章
doi：10.1186/1472-6963-8-35
更新日期：2008-02-06 00:00:00
abstract：BACKGROUND:General practice clinics are the main primary care institutions providing ambulatory care in the rural areas of Beijing, rational use of medicines is crucial for the rural primary care system. This study investigated the prescribing patterns of general practice clinics in rural Beijing to provide a baseline ...
journal_title：BMC health services research
pub_type： 杂志文章,多中心研究
doi：10.1186/s12913-019-4656-2
更新日期：2019-11-06 00:00:00
abstract：BACKGROUND:Whether activity-based financing of hospitals creates incentives to treat more patients and to reduce the length of each hospital stay is an empirical question that needs investigation. This paper examines how the level of the activity-based component in the financing system of Norwegian hospitals influences...
journal_title：BMC health services research
pub_type： 杂志文章
doi：10.1186/1472-6963-13-172
更新日期：2013-05-07 00:00:00
abstract：BACKGROUND:Aboriginal Australians have worse cancer survival rates than other Australians. Reasons include fear of a cancer diagnosis, reluctance to attend mainstream health services and discrimination from health professionals. Offering health professionals education in care focusing on Aboriginal patients' needs is i...
journal_title：BMC health services research
pub_type： 杂志文章
doi：10.1186/s12913-017-2599-z
更新日期：2017-09-15 00:00:00
abstract：BACKGROUND:Reduction of cardiovascular disease (CVD) is a worldwide health priority and innovative uses of technology-based interventions may assist patients with improving prevention behaviours. Targeting these interventions to recipients most likely to benefit requires understanding how contexts of use influence resp...
journal_title：BMC health services research
pub_type： 杂志文章,随机对照试验
doi：10.1186/s12913-020-05597-5
更新日期：2020-08-18 00:00:00
abstract：BACKGROUND:The existence and magnitude of socio-economic inequalities in health-seeking behaviours for child curative care in Egypt and mechanisms underlying these associations have not been comprehensively assessed. This study examined whether socio-economic position (SEP) was associated with health-seeking behaviours...
journal_title：BMC health services research
pub_type： 杂志文章
doi：10.1186/s12913-015-1150-3
更新日期：2015-10-24 00:00:00
abstract：BACKGROUND:Quality Improvement Interventions require significant financial investments, and therefore demand careful consideration in their design in order to maximize potential benefits. In this correspondence we present the methodological approach of a multifaceted quality improvement intervention aiming to improve q...
journal_title：BMC health services research
pub_type： 杂志文章
doi：10.1186/1472-6963-8-181
更新日期：2008-08-27 00:00:00
abstract：BACKGROUND:Clinical social franchising is a rapidly growing delivery model in private healthcare markets in low- and middle-income countries. Despite this growth, little is known about providers' perceptions of the benefits and challenges of social franchising or clients' reasons for choosing franchised facilities over...
journal_title：BMC health services research
pub_type： 杂志文章
doi：10.1186/s12913-015-0709-3
更新日期：2015-02-01 00:00:00
abstract：BACKGROUND:The first Multi-center Medication Reconciliation Quality Improvement Study (MARQUIS1) demonstrated that implementation of a medication reconciliation best practices toolkit decreased total unintentional medication discrepancies in five hospitals. We sought to implement the MARQUIS toolkit in more diverse hos...
journal_title：BMC health services research
pub_type： 杂志文章,多中心研究
doi：10.1186/s12913-019-4491-5
更新日期：2019-09-11 00:00:00
abstract：BACKGROUND:Systematic reviews of randomised placebo controlled trials of antidepressant medication show small and decreasing differences between pharmacological and placebo arms. In part this finding may relate to methodological problems with conventional trial designs, including their assumption of additivity between ...
journal_title：BMC health services research
pub_type： 杂志文章
doi：10.1186/1472-6963-7-64
更新日期：2007-04-30 00:00:00
abstract：BACKGROUND:Strengthening primary health care is critical to reducing health inequity between Indigenous and non-Indigenous Australians. The Audit and Best practice for Chronic Disease Extension (ABCDE) project has facilitated the implementation of modern Continuous Quality Improvement (CQI) approaches in Indigenous com...
journal_title：BMC health services research
pub_type： 杂志文章
doi：10.1186/1472-6963-10-129
更新日期：2010-05-19 00:00:00
abstract：BACKGROUND:Despite substantial research on pediatric pain assessment and management, health care professionals do not adequately incorporate this knowledge into clinical practice. Organizational context (work environment) is a significant factor in influencing outcomes; however, the nature of the mechanisms are relativ...
journal_title：BMC health services research
pub_type： 杂志文章,多中心研究
doi：10.1186/s12913-017-2029-2
更新日期：2017-01-23 00:00:00
abstract：BACKGROUND:To evaluate the cost-effectiveness of trimetazidine (TMZ) as add-on therapy to standard-of-care (SoC) compared to SoC alone in patients with chronic stable angina who did not respond adequately to first line therapy with b-blockers, nitrates or calcium channel antagonists in Greece. METHODS:A Markov model w...
journal_title：BMC health services research
pub_type： 杂志文章
doi：10.1186/s12913-016-1779-6
更新日期：2016-09-27 00:00:00
