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

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dc.contributor.authorNkonki, Lungiswa Leonoraen_ZA
dc.contributor.authorDaviaud, Emmanuelleen_ZA
dc.contributor.authorJackson, Debraen_ZA
dc.contributor.authorChola, Lumbween_ZA
dc.contributor.authorDoherty, Tanyaen_ZA
dc.contributor.authorChopra, Mickeyen_ZA
dc.contributor.authorRobberstad, Bjarneen_ZA
dc.date.accessioned2016-03-01T08:55:59Z
dc.date.available2016-03-01T08:55:59Z
dc.date.issued2014-01
dc.descriptionCITATION: Nkonki, L.L. et al. 2014. Costs of promoting exclusive breastfeeding at community level in three sites in South Africa. PLoS ONE, 9(1):e79784, doi:10.1371/journal.pone.0079784.en_ZA
dc.descriptionThe original publication is available at http://journals.plos.org/plosoneen_ZA
dc.description.abstractBackground: 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.en_ZA
dc.description.urihttp://journals.plos.org/plosone/article?id=10.1371/journal.pone.0079784
dc.description.versionPublisher's version
dc.format.extent9 pages
dc.identifier.citationNkonki, L.L. et al. 2014. Costs of promoting exclusive breastfeeding at community level in three sites in South Africa. PLoS ONE, 9(1):e79784, doi:10.1371/journal.pone.0079784.en_ZA
dc.identifier.issn1932-6203 (online)
dc.identifier.otherdoi:10.1371/journal.pone.0079784
dc.identifier.urihttp://hdl.handle.net/10019.1/98239
dc.language.isoen_ZAen_ZA
dc.publisherPLoSen_ZA
dc.rights.holderAuthors retain copyrighten_ZA
dc.subjectBreastfeeding -- South Africaen_ZA
dc.titleCosts of promoting exclusive breastfeeding at community level in three sites in South Africaen_ZA
dc.typeArticleen_ZA
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