Vanessa Darsamo
University of Cape Town, School of Economics, Graduate Student
Research Interests: Engineering, Physics, Chemistry, Sexual and Reproductive Health, Biology, and 15 moreMedicine, Multidisciplinary, Ownership, Humans, Reproductive health, Human Resources for Health, Activity based costing, New Economic Models, PLoS one, Economic Models, Unit Cost, Health Care Costs, Reproductive health services, Health Resources, and HIV infections
Research Interests: Nursing, Africa, Developing Countries, Qualitative Research, Medicine, and 15 moreCounseling, HIV, Humans, Reproductive health, Human Resources for Health, Female, Male, HIV Prevention, Income, Heatlh services and reproductive health, Postnatal Care, Community Based Mental Health Services, Reproductive health services, Community health services, and HIV infections
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<p><sup>a</sup> Service type: Ca Cx = Cervical cancer screening; FP = Family planning; PNC = Post natal care; HCT: HIV counseling and testing; STI = Sexually transmitted... more
<p><sup>a</sup> Service type: Ca Cx = Cervical cancer screening; FP = Family planning; PNC = Post natal care; HCT: HIV counseling and testing; STI = Sexually transmitted infections</p><p><sup>b</sup> Facility type: SD Hospital = Sub District hospital; PHU = Public Health Unit</p><p><sup>c</sup> Model of integration: FP = Family Planning model (HIV/STI integrated into FP Services); PNC = Post natal care (HIV/STI services integrated into PNC services); SRH = SRH model (HIV/STI services integrated into SRH clinics)</p><p>*Mean cost per service includes drugs, diagnostics and supplies.</p><p>Mean unit cost per service<sup><a href="http://www.plosone.org/article/info:doi/10.1371/journal.pone.0124476#t003fn004" target="_blank">*</a></sup> (Int$ 2013) by country and facility type.</p
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<p>Facility type: DH = District hospital; SDH = Sub district hospital; HC = Health centre; PHU = Public health unit</p><p>Service type: Ca Cx = Cervical Cancer Screening; FP = Family planning; PNC = Post natal care; HCT:... more
<p>Facility type: DH = District hospital; SDH = Sub district hospital; HC = Health centre; PHU = Public health unit</p><p>Service type: Ca Cx = Cervical Cancer Screening; FP = Family planning; PNC = Post natal care; HCT: HIV counseling and testing; STI = sexually transmitted infections</p><p>Breakdown of client visits and total costs by country, ownership, facility type and service.</p
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<p>Description of SRH and HIV services included in the study.</p
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<p>Summary of models of integration evaluated.</p
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<p>Distribution of unit cost (Int$ 2013) by input type.</p
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ObjectivesTo estimate the own-price, cross-price and income elasticities for carbonated soft drinks (CSDs), malt drinks, chocolate powder, sachet water and sugar in Nigeria. These elasticities can be used to estimate the potential demand... more
ObjectivesTo estimate the own-price, cross-price and income elasticities for carbonated soft drinks (CSDs), malt drinks, chocolate powder, sachet water and sugar in Nigeria. These elasticities can be used to estimate the potential demand response to the recently-introduced sugar tax in Nigeria.SettingThe study uses household data from the 2018/2019 Nigeria Living Standards Survey (NLSS).ParticipantsThe NLSS is a national household survey. 21 114 households were included in the final sample for this analysis.Primary and secondary outcomesWe used Deaton’s almost ideal demand system, which controls for the goods’ quality, to estimate the effect of price and income changes on the demand for CSDs, chocolate powder, malt drinks, sachet water and sugar.ResultsWe found that the own-price elasticity (ordered from most to least price-responsive) was −0.99 (p<0.01) for sachet water, −0.76 (p<0.01) for CSDs, –0.72 (p<0.01) for chocolate powder, −0.62 (p<0.01) for sugar and –0.19 (p&...
Background: There is growing interest in integration of HIV and sexual and reproductive health (SRH) services as a way to improve the efficiency of human resources (HR) for health in low- and middle-income countries. Although this is... more
Background: There is growing interest in integration of HIV and sexual and reproductive health (SRH) services as a way to improve the efficiency of human resources (HR) for health in low- and middle-income countries. Although this is supported by a wealth of evidence on the acceptability and clinical effectiveness of service integration, there is little evidence on whether staff in general health services can easily absorb HIV services. Methods: We conducted a descriptive analysis of HR integration through task shifting/sharing and staff workload in the context of the Integra Initiative- a large-scale five-year evaluation of HIV/SRH integration. We describe the level, characteristics and changes in HR integration in the context of wider efforts to integrate HIV/SRH, and explore the impact of HR integration on staff workload. Results: Improvements in the range of services provided by staff (HR integration) were more likely to be achieved in facilities which also improved other elemen...
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Sedona Sweeney (sedona.sweeney@lshtm.ac.uk) Carol Dayo Obure (Carol_Dayo.Obure@lshtm.ac.uk) Fern Terris-Prestholt (Fern.Terris-Prestholt@lshtm.ac.uk) Vanessa Darsamo (darsamovanessa@gmail.com) Christine Michaels-Igbokwe... more
Sedona Sweeney (sedona.sweeney@lshtm.ac.uk) Carol Dayo Obure (Carol_Dayo.Obure@lshtm.ac.uk) Fern Terris-Prestholt (Fern.Terris-Prestholt@lshtm.ac.uk) Vanessa Darsamo (darsamovanessa@gmail.com) Christine Michaels-Igbokwe (Christine.Michaels-Igbokwe@lshtm.ac.uk) Esther Muketo (emuketo@fhok.org) Zelda Nhlabatsi (znhlabatsi@flas.org.sz) Integra Research Team (Susannah.Mayhew@lshtm.ac.uk) Charlotte Warren (cwarren@popcouncil.org) Susannah Mayhew (Susannah.Mayhew@lshtm.ac.uk) Charlotte Watts (Charlotte.Watts@lshtm.ac.uk) Anna Vassall (Anna.Vassall@lshtm.ac.uk)
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To present evidence on the total costs and unit costs of delivering six integrated sexual reproductive health and HIV services in a high and medium HIV prevalence setting, in order to support policy makers and planners scaling up these... more
To present evidence on the total costs and unit costs of delivering six integrated sexual reproductive health and HIV services in a high and medium HIV prevalence setting, in order to support policy makers and planners scaling up these essential services. A retrospective facility based costing study conducted in 40 non-government organization and public health facilities in Kenya and Swaziland. Economic and financial costs were collected retrospectively for the year 2010/11, from each study site with an aim to estimate the cost per visit of six integrated HIV and SRH services. A full cost analysis using a combination of bottom-up and step-down costing methods was conducted from the health provider's perspective. The main unit of analysis is the economic unit cost per visit for each service. Costs are converted to 2013 International dollars. The mean cost per visit for the HIV/SRH services ranged from $Int 14.23 (PNC visit) to $Int 74.21 (HIV treatment visit). We found considerab...