Level of care (n = number of pregnant women) | Community Level (n = 34) | Facility Level (n = 36) | |||||||
---|---|---|---|---|---|---|---|---|---|
Care setting | Gov’t (n=14) | BRAC (n=12) | Smiling Sun (n=8) | Community Clinic (n=10) | Upazila Health Complex (n=10) | Maternal and Child Welfare Center (n=10) | Smiling Sun (n=6) | ||
Provider costs | Service costs | Staff level | Family Welfare Visitor | Shyastho Kormi | Paramedic | Family Welfare Visitor | Nurse | Family Welfare Visitor | Paramedic & Counselor |
Staff monthly salary ($) | 182-390 | 78 | 286 | 182-390 | 208-455 | 182-390 | 286 | ||
Service time per patient (min) | 6 (5-10) | 25 (21-25) | 10 (9-10) | 5 (5-6) | 17 (10-20) | 10 (5-14) | 28 (18-30) | ||
Total service costs | 0.17 (6%) | 0.18 (21%) | 0.27 (28%) | 0.13 (4%) | 0.55 (16%) | 0.27 (9%) | 0.75 (51%) | ||
Drug costsa | Iron & Folic acid ($) | 0.32-0.39 | 0.13 | 0.13 | 0.32-0.39 | 0.32-0.39 | 0.32-0.39 | 0.13 | |
Calcium ($) | 0.45-0.65 | 0.13-0.19 | 0.13 | 0.45-0.65 | 0.45-0.65 | 0.45-0.65 | 0.13 | ||
Vitamin B Complex ($) | n/a | 0.26-0.47 | 0.45 | n/a | n/a | n/a | 0.45 | ||
Misoprostol ($) | 1.95 | n/a | n/a | 1.95 | 1.95 | 1.95 | n/a | ||
Total drug costs | 2.86 (94%) | 0.66 (79%) | 0.71 (72%) | 2.86 (96%) | 2.86 (84%) | 2.86 (91%) | 0.71 (49%) | ||
Total provider costs | 3.03 | 0.84 | 0.98 | 2.99 | 3.41 | 3.13 | 1.46 | ||
Average provider costs (USD, 2016) | $1.62 | $2.75 | |||||||
Patient costsb | Indirect costs | Hourly wagec ($) | 0.58 (0.36-0.71) | 0.52 (0.43-0.69) | 0.88 (0.42-0.10) | 0.48 (0.36-0.92) | 0.52 (0.44-0.84) | 0.62 (0.44-0.84) | 0.66 (0.36-0.66) |
Travel time (a round trip, min) | 20 (10-55) | 13(6-33) | 10 (10-17) | 10 (10-20) | 48 (41-60) | 120 (70-120) | 40 (25-70) | ||
Waiting time (min) | 13 (5-56) | 15 (2-30) | 6 (4-17) | 20 (8-30) | 40 (15-105) | 120 (90-210) | 8 (1-10) | ||
Consultation time (min) | 10 (8-10) | 30 (24-35) | 18 (9-20) | 4 (2-9) | 13 (10-28) | 10 (10-20) | 30 (23-41) | ||
Pharmacy time (min) | 0 (0-0) | 0 (0-1) | 0 (0-0) | 0 (0-0) | 1 (0-4) | 0 (0-0) | 0 (0-0) | ||
Total time (min) | 73 (46-114) | 78 (43-97) | 34 (27-44) | 43 (27-52) | 153 (78-182) | 260 (195~292) | 90 (70-106) | ||
Total wage loss (total time x hourly wage) | 0.70 (0.48-0.96) (100%) | 0.49 (0.31-1.03) (43%) | 0.49 (0.31-0.91) (100%) | 0.44 (0.25-0.61) (77%) | 1.19 (0.69-2.29) (80%) | 2.25 (1.40-5.96) (42%) | 0.81 (0.40-0.94) (53%) | ||
Direct costs | Admission fee ($) | 0 | 0 | 0 | 0 | 0.04 (0.04-0.04) | 0 | 0 | |
Medical service fee ($) | 0 | 0.65 (0.65-0.65) | 0 | 0 | 0 | 1.89 (1.20-2.93) | 1.56 (1.02-1.62) | ||
Transportation ($) | 0 | 0 | 0 | 0.13 (0-0.2) | 0.45 (0.32-0.56) | 0.52 (0.23-0.91) | 0.65 (0.52-0.78) | ||
Others ($) | 0 | 0 | 0 | 0 | 0 | 0.71 (0.13-1.30) | 0 | ||
Total direct costs | 0 (0%) | 0.65 (0.65-0.65) (57%) | 0 (0%) | 0.13 (0-0.2) (23%) | 0.49 (0.04-0.56) (20%) | 3.12 (1.27-4.48) (58%) | 2.21 (0.59-1.36) (47%) | ||
Total patient costs | 0.70 | 1.14 | 0.49 | 0.57 | 1.68 | 5.37 | 3.02 | ||
Average patient costs (USD, 2016) | $0.78 | $2.66 | |||||||
Average provider and patient costs (USD, 2016) | $2.40 | $5.41 |