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Provision of hearing aids to children in Bangladesh : costs and cost-effectiveness of a community-based and a centre-based approach

Ekman, Björn LU and Borg, Johan LU (2017) In Disability and Rehabilitation: Assistive Technology 12(6). p.625-630
Abstract

Purpose: The aim of this study is to provide evidence on the costs and health effects of two alternative hearing aid delivery models, a community-based and a centre-based approach. The study is set in Bangladesh and the study population is children between 12 and 18 years old. Methods: Data on resource use by participants and their caregivers were collected by a household survey. Follow-up data were collected after two months. Data on the costs to providers of the two approaches were collected by means of key informant interviews. Results: The total cost per participant in the community-based model was BDT 6,333 (USD 79) compared with BDT 13,718 (USD 172) for the centre-based model. Both delivery models are found to be cost-effective... (More)

Purpose: The aim of this study is to provide evidence on the costs and health effects of two alternative hearing aid delivery models, a community-based and a centre-based approach. The study is set in Bangladesh and the study population is children between 12 and 18 years old. Methods: Data on resource use by participants and their caregivers were collected by a household survey. Follow-up data were collected after two months. Data on the costs to providers of the two approaches were collected by means of key informant interviews. Results: The total cost per participant in the community-based model was BDT 6,333 (USD 79) compared with BDT 13,718 (USD 172) for the centre-based model. Both delivery models are found to be cost-effective with an estimated cost per DALY averted of BDT 17,611 (USD 220) for the community-based model and BDT 36,775 (USD 460) for the centre-based model. Conclusions: Using a community-based approach to deliver hearing aids to children in a resource constrained environment is a cost-effective alternative to the traditional centre-based approach. Further evidence is needed to draw conclusions for scale-up of approaches; rigorous analysis is possible using well-prepared data collection tools and working closely with sector professionals.Implications for RehabilitationDelivery models vary by resources needed for their implementation.Community-based deliver models of hearing aids to children in low-income countries are a cost-effective alternative.The assessment of costs and effects of hearing aids delivery models in low-income countries is possible through planned collaboration between researchers and sector professionals.

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author
and
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Bangladesh, community-based, cost-effectiveness, costs, DALY, effects, hearing aids
in
Disability and Rehabilitation: Assistive Technology
volume
12
issue
6
pages
625 - 630
publisher
Taylor & Francis
external identifiers
  • pmid:27498947
  • wos:000403392900010
  • scopus:84981210499
ISSN
1748-3107
DOI
10.1080/17483107.2016.1204631
language
English
LU publication?
yes
id
41dc728a-a8a9-41b9-bd83-05df1494a210
date added to LUP
2016-09-01 16:03:33
date last changed
2022-04-24 17:27:22
@article{41dc728a-a8a9-41b9-bd83-05df1494a210,
  abstract     = {{<p>Purpose: The aim of this study is to provide evidence on the costs and health effects of two alternative hearing aid delivery models, a community-based and a centre-based approach. The study is set in Bangladesh and the study population is children between 12 and 18 years old. Methods: Data on resource use by participants and their caregivers were collected by a household survey. Follow-up data were collected after two months. Data on the costs to providers of the two approaches were collected by means of key informant interviews. Results: The total cost per participant in the community-based model was BDT 6,333 (USD 79) compared with BDT 13,718 (USD 172) for the centre-based model. Both delivery models are found to be cost-effective with an estimated cost per DALY averted of BDT 17,611 (USD 220) for the community-based model and BDT 36,775 (USD 460) for the centre-based model. Conclusions: Using a community-based approach to deliver hearing aids to children in a resource constrained environment is a cost-effective alternative to the traditional centre-based approach. Further evidence is needed to draw conclusions for scale-up of approaches; rigorous analysis is possible using well-prepared data collection tools and working closely with sector professionals.Implications for RehabilitationDelivery models vary by resources needed for their implementation.Community-based deliver models of hearing aids to children in low-income countries are a cost-effective alternative.The assessment of costs and effects of hearing aids delivery models in low-income countries is possible through planned collaboration between researchers and sector professionals.</p>}},
  author       = {{Ekman, Björn and Borg, Johan}},
  issn         = {{1748-3107}},
  keywords     = {{Bangladesh; community-based; cost-effectiveness; costs; DALY; effects; hearing aids}},
  language     = {{eng}},
  number       = {{6}},
  pages        = {{625--630}},
  publisher    = {{Taylor & Francis}},
  series       = {{Disability and Rehabilitation: Assistive Technology}},
  title        = {{Provision of hearing aids to children in Bangladesh : costs and cost-effectiveness of a community-based and a centre-based approach}},
  url          = {{http://dx.doi.org/10.1080/17483107.2016.1204631}},
  doi          = {{10.1080/17483107.2016.1204631}},
  volume       = {{12}},
  year         = {{2017}},
}