A Cost Analysis of the Honduras Community-based Integrated Child Care Program
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World Bank, Washington, DC
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The Honduras AIN-C (Atencion Integral a
la Ninez-Comunitaria) Program is a preventive health and
nutrition program of the Honduras Ministry of Health that
relies on volunteers to help mothers and communities
pro-actively monitor and maintain the adequate growth of
young children. A 2000 experimental-design based evaluation
found that the program achieved near-universal coverage and
was effective in improving mothers' child-rearing
knowledge, attitudes and practices, including feeding
practices and appropriate care-giving and care-seeking
practices for children with diarrhea and acute respiratory
illness. The program is widely regarded as a model. This
study was undertaken to provide the first comprehensive
estimates of the cost of AIN-C, with the goal of providing a
program and financial planning tool for Honduras, as well as
other countries interested in implementing an AIN-C Program.
Expressed in mid-2002 U.S. dollars, the study found: (1) the
long-term, annual, recurrent cost per child less than two
participating in the program is US$6.82, (2) the long-term,
annual, incremental budget requirements per child less than
two participating in the program is $4.00, (3) the
long-term, annual recurrent cost per capita is $0.44, and
the cost of an AIN-C monthly growth monitoring and
counseling session per child is 11 percent of the cost of a
traditional MOH, facility-based growth and development
consultation per child.
Palabras clave
ACCOUNT, ACCOUNTING, ACCOUNTS, BUDGETING, CHILD NUTRITION, COMMUNITY, COMMUNITY HEALTH, COMMUNITY PARTICIPATION, COST ACCOUNTING, COST ANALYSIS, COST CENTERS, COST ESTIMATES, COUNSELING, DEATHS, DIRECT COSTS, EQUIPMENT, EXPENDITURE, EXPENDITURES, FAMILIES, FINANCIAL PLANNING, FIXED COSTS, HEALTH, HEALTH CENTERS, HEALTH OUTCOMES, HEALTH SECTOR, HEALTH SERVICES, HEALTH SYSTEMS, HOUSING, IMPACT EVALUATION, INFANTS, IRON, MALNUTRITION, MANAGERS, MOTHERS, MOTIVATION, NGOS, NUTRITION, NUTRITION PROGRAMS, NUTRITIONAL STATUS, ORAL REHYDRATION THERAPY, PARTNERSHIP, RECURRENT COST, RECURRENT COSTS, WORKERS NUTRITION PROGRAMS, NUTRITION, COMMUNITY PARTICIPATION, PREVENTIVE HEALTH CARE, UNIVERSAL HEALTH, HEALTH FINANCING