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Relative efficiency of government and non-government organisations in implementing a nutrition intervention programme – a case study from Bangladesh

Published online by Cambridge University Press:  16 October 2007

M Mahmud Khan  and
Shakil Ahmed
M Mahmud Khan
Affiliation:
Tulane University School of Public Health, New Orleans, LA 70112, USA
Shakil Ahmed*
Affiliation:
Health Economics Unit, Public Health Sciences Division, International Centre for Diarrhoeal Disease Research, Bangladesh (ICDDR, B), GPO Box 128, Dhaka – 1000, Bangladesh
*
*Corresponding author: Email [email protected]
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Abstract

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Objective:

The Bangladesh Integrated Nutrition Programme (BINP) experimented with two models of delivery: the first model uses the Government of Bangladesh's (GOB) own management structure and the second uses the non-government organisations (NGOs) working in the local community. This study compares the relative efficiency of GOB and NGO management in the provision of nutrition services.

Design:

A detailed costing survey was carried out to estimate the cost of delivering nutrition services from the Community Nutrition Centres (CNCs). The number of individuals enrolled, the number actually participating in the programme and person-days of service delivered were used as effectiveness measures.

Setting:

Thirty-five CNCs were randomly selected from five BINP areas, of which 21 were in GOB-run areas and 14 in NGO-run areas.

Results:

The cost of providing nutrition services per enrolee was US$ 24.43 for GOB-run CNCs and US$ 29.78 for NGO-run CNCs.

Conclusions:

Contrary to the widely held view, the analysis implies that the NGO facilities are not more efficient in the delivery of nutrition services when cost per person-days of service delivered is considered. The food cost component of BINP is so high that, irrespective of the delivery mode, policy makers should examine carefully the components of BINP in order to find the most cost-effective mix of services.

Keywords

Nutrition interventionCost-effectiveness
Type
Research Article
Information
Public Health Nutrition , Volume 6 , Issue 1 , February 2003 , pp. 19 - 24
Copyright
Copyright © CABI Publishing 2003

References

1Reutlinger, S, Van Holst, P. Poverty and Hunger: Issues and Options for Food Security in Developing Countries. Washington, DC: World Bank, 1986.Google Scholar
2Berg, A. Malnutrition: What Can Be Done? Lessons from World Bank Experience. World Bank Publication. Baltimore, MD: John Hopkins University Press, 1987.Google Scholar
3Mellor, JW. In: Nutrition Issues in Developing Countries for the 1980s and 1990s. Proceedings of a Symposium. Washington, DC: Nationa l Academy Press, 1986; 25–42.Google Scholar
4 Government of Bangladesh. Child Nutrition Survey of Bangladesh. Bangladesh Bureau of Statistics Report. Dhaka: Ministry of Planning, 1995–1996.Google Scholar
5 Bangladesh Rural Advancement Committee (BRAC). Nutrition Facilitation Programme. Annual Report. Dhaka: BRAC, 1997.Google Scholar
6Khan, MM. Cost Estimates for National Nutrition Program: book-title Mobilization through User Charges. Technical Report. Dhaka: International Centre for Diarrhoeal Disease Research, Bangladesh, 1999.Google Scholar
7 World Health Organization (WHO). Cost-Effectiveness Analysis, Programme for Control of Diarrhoeal Diseases. Geneva: WHO, 1988.Google Scholar
8Creese, A, Parker, D. Cost Analysis in Primary Health Care: A Training Manual for Programme Managers. Geneva: World Health Organization, 1988.Google Scholar
9Khan, MM. Cost of the Bangladesh Integrated Nutrition Program Activities at the Community Level: An Analysis Based on Community Nutrition Centers in Five Thanas of Bangladesh. Technical Report. Dhaka: International Centre for Diarrhoeal Disease Research, Bangladesh, 1999.Google Scholar
10 Government of the People's Republic of Bangladesh. Bangladesh Integrated Nutrition Program. Baseline Data Sheet for BINP Program Planning, Monitoring and Evaluation (based on data collected in 44 sub-districts). Dhaka: Ministry of Health and Family Welfare, 1997.Google Scholar