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Year : 2014  |  Volume : 3  |  Issue : 3  |  Page : 148-152

Cost and effectiveness analysis of Kangaroo mother care and conventional care method in low birth weight neonates in Tabriz 2010-2011

1 Department of Health Services Management, Faculty of Management and Medical Informatics, Tabriz University of Medical Sciences; Tabriz Health Services Management Research Center, Tabriz, Iran
2 Iranian Center of Excellence for Health Management; Student Research Committee, Tabriz University of Medical Sciences, Tabriz, Iran
3 Department of Neonatology, School of Medicine, Children Health Research Centre, Tabriz University of Medical Sciences, Tabriz, Iran

Correspondence Address:
Dr. Ali Jannati
Faculty of Management and Medical Informatics, Tabriz University of Medical Sciences, Attar Nishabouri Road, Golgasht, Tabriz, EAZN 5166614711
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Source of Support: Tabriz Health Services Management Research Centre; Tabriz University of Medical Sciences.,, Conflict of Interest: None

DOI: 10.4103/2249-4847.140401

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Objective: This study aimed to compare the cost and effectiveness of Kangaroo mother care (KMC) and conventional methods of care in low birth weight (LBW) neonates. Materials and Methods: A retrospective economic evaluation conducted in Al-Zahra Teaching Maternity Hospital of Tabriz, Iran by participating 45 LBW and preterm neonate in each therapeutic groups (90 neonates). Convenience sampling used to select participants from KMC and conventional care method (CCM) (incubator) groups in 2010-2011. Baseline characteristics, therapeutic interventions, resources utilization data and clinical events during the initial hospitalization and at 2-month follow-up were collected according a detailed case report forms. Data are described as mean (standard deviation) and no (percentage) and were compared with Student's t-test, χ2 and Fisher exact test between groups. P ≤ 0.05 were considered to be statistically significant. Data were analyzed using the SPSS-16 statistical package. Result: The mean birth weight (BW) of the patients in KMC group was 1240.89 (5.98) g and in CCM was 1133.78 (139.06) g, hence differences in BW was statistically significant ( P < 0.001). Greatest cause of problem in groups was icter and after that preterm birth and House Dust Mite (HDM) with icter were the most frequent problem between neonates. In 2 months follow-up period, 3.7% of infants cared with KMC and conventional methods died respectively ( P = 0.078). Daily weight gain was 12.28 g in KMC group and 9.65 g in conventional group ( P = 0.011). The mean cost of hospitalization per individual infant for KMC was 3539.47$, whereas for Conventional group was 2907.27$. Conclusion: KMC promoted weight gain in LBW infants better than conventional care. Although KMC's unit cost is a little higher than Conventional method, but comparing its positive outcomes on breastfeeding's and mortality it can be considered as cost effective method.

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