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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 (2016) In Disability and Rehabilitation: Assistive Technology
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
organization
publishing date
type
Contribution to journal
publication status
epub
subject
keywords
Bangladesh, community-based, cost-effectiveness, costs, DALY, effects, hearing aids
in
Disability and Rehabilitation: Assistive Technology
pages
6 pages
publisher
Taylor & Francis
external identifiers
  • scopus:84981210499
  • wos:000403392900010
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
2017-09-18 11:29:02
@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},
  keyword      = {Bangladesh,community-based,cost-effectiveness,costs,DALY,effects,hearing aids},
  language     = {eng},
  month        = {08},
  pages        = {6},
  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},
  year         = {2016},
}