Cost efficiency in primary health care: studies of health facilities in Indonesia

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Abstract
Certain types of small, rural health facilities more efficient than others in providing outpatient contacts?This report compares simple model average cost curves for health centres and sub-centres to assess evidence for systematic differences in costs. Cost differences were minor, although health centres were slightly less expensive than sub-centres for both curative care and maternal health services. Community health worker services were significantly less costly than clinic-based care. Increasing utilization of currently under-used clinic services substantially reduces average costs, with the rate of reduction possibly higher for sub-centres. Further, more sophisticated analysis of facility cost functions is needed to improve resource allocation and health planning in low income countries

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