INTRODUCTION In Africa, a majority of women bring their infant to health services for immunization, but few are checked in the postpartum (PP) period. The Missed opportunities for maternal and infant health (MOMI) EU-funded project has implemented a package of interventions at community and facility levels to uptake maternal and infant postpartum care (PPC). One of these interventions is the integration of maternal PPC in child clinics and infant immunization services, which proved to be successful for improving maternal and infant PPC. AIM Taking stock of the progress achieved in terms of PPC with the implementation of the interventions, this paper assesses the economic cost of maternal PPC services, for health services and households, before and after the project start in Kaya health district (Burkina Faso). METHODS PPC costs to health services are estimated using secondary data on personnel and infrastructure and primary data on time allocation. Data from two household surveys collected before and after one year intervention among mothers within one year PP are used to estimate the household cost of maternal PPC visits. We also compare PPC costs for households and health services with or without integration. We focus on the costs of the PPC intervention at days 6-10 that was most successful. RESULTS The average unit cost of health services for days 6-10 maternal PPC decreased from 4.6 USD before the intervention in 2013 (Jan-June) to 3.5 USD after the intervention implementation in 2014. Maternal PPC utilization increased with the implementation of the interventions but so did days 6-10 household mean costs. Similarly, the household costs increased with the integration of maternal PPC to BCG immunization. CONCLUSION In the context of growing reproductive health expenditures from many funding sources in Burkina Faso, the uptake of maternal PPC led to a cost reduction, as shown for days 6-10, at health services level. Further research should determine whether the increase in costs for households would be deterrent to the use of integrated maternal and infant PPC.

中文翻译：

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评估2013年至2014年之间布基纳法索的产妇产后服务成本变化。

引言在非洲，大多数妇女将婴儿带到卫生服务机构进行免疫接种，但很少有妇女在产后（PP）期间接受检查。欧盟资助的孕产妇和婴儿保健机会错失（MOMI）项目已在社区和设施一级实施了一揽子干预措施，以接受孕产妇和婴儿产后保健（PPC）。这些干预措施之一是将孕产妇PPC整合到儿童诊所和婴儿免疫服务中，事实证明，这已成功地改善了孕产妇和婴儿PPC。目的评估在实施干预措施后在PPC方面取得的进展，本文评估了在Kaya卫生区（布基纳法索）开始项目之前和之后，卫生服务和家庭的孕产妇PPC服务的经济成本。方法使用人员和基础设施方面的辅助数据以及时间分配方面的主要数据估算卫生保健的PPC成本。一年内在产前产后母亲之间进行一年干预之前和之后收集的两次家庭调查数据用于估算产妇每次就诊每次访视的家庭成本。我们还比较了有或没有整合的家庭和医疗服务的PPC成本。我们将重点放在最成功的6-10天的PPC干预费用上。结果6-10天产妇PPC的卫生服务平均单位成本从2013年干预前的4.6美元（1月至6月）降至2014年实施干预后的3.5美元。随着干预措施的实施，孕产妇PPC利用率有所提高，但第6-10天的家庭平均费用也是如此。相似地，随着产妇PPC整合到BCG免疫中，家庭成本增加。结论在布基纳法索许多来源的生殖健康支出不断增加的背景下，如在第6至10天所示，在卫生服务方面，母体PPC的吸收导致成本降低。进一步的研究应确定家庭成本的增加是否会阻止母婴PPC的使用。