Does integration of health survey bring cost effectiveness into evidence generation in post conflict settings of Tigray, Ethiopia?

Authors

  • Mussie Alemayehu Mekelle University College of Health Sciences School of Public Health Author
  • kiros Demoz Tigray Health Research Institute (THRI) Author
  • Mohammedtahir Yahya Mekelle University College o Health Sciences School of Medicine Author
  • Almaz Teamir Mekele Hamlin Fistula Center Author
  • Ashenafi Asmelash Mums for Mums Author
  • Gebrehaweria Gebrekurstos Tigray Health Bureau Author
  • Hayelom Kahsay Tigray Health Research Institute (THRI) Author
  • Hailay Gebretnsae Tigray Health Research Institute (THRI) Author
  • Tsegay Hadgu Tigray Health Research Institute (THRI) Author
  • Fana Gebreslassie Tigray Health Research Institute (THRI) Author
  • Melaku Abreha Mekele Hamlin Fistula Center Author
  • Asfawosen Aregay Tigray Health Research Institute (THRI) Author
  • Mulugeata Tilahun Tigray Health Research Institute (THRI) Author
  • Mulugeta Woldu Tigray Health Research Institute (THRI) Author
  • Ataklti Gebrtsadik Tigray Health Research Institute (THRI) Author
  • Amanuel Haile Tigray Health Bureau Author
  • Rieyee Esayas Tigray Health Bureau Author
  • Tsegay Berihu Author
  • Brhane Ayele Tigray Health Research Institute (THRI) Author
  • Abraham Desta Tigray Health Research Institute (THRI) Author
  • Haben Haileselassie Mekelle University, Health and development, MARCH research center, Mekelle Author
  • Abrham Gebrelibanos Mekelle University, Health and development, MARCH research center, Mekelle Author
  • Frehiwot Hailemariam Mekelle University College of Health Sciences School of Public Health Author
  • Tadele Tesfean Mekelle University, Health and development, MARCH research center, Mekelle Author
  • Tsegay Wellay Mekelle University College of Health Sciences School of Public Health Author
  • Adhena Ayalew Mekelle University College of Health Sciences School of Public Health Author
  • afework Mulugeta Bezabh Mekelle University College of Health Sciences School of Public Health Author
  • Araya Abrha Medhanyie Mekelle University College of Health Sciences School of Public Health Author
  • Znabu Hadush Kahsay Mekelle University College of Health Sciences School of Public Health Author
  • Liya Mamo Mekelle University College of Health Sciences School of Public Health Author
  • Assefa Ayalew Mekelle University College of Health Sciences School of Public Health Author
  • Mebrhatu Kalayu Mekelle University College of Health Sciences School of Public Health Author
  • Reda Shamie Mekelle University College of Health Sciences School of Public Health Author

DOI:

https://doi.org/10.83407/c1szhc50

Keywords:

Cost effectiveness, integration, post conflict, Tigray

Abstract

Background

Evidence generation in healthcare is increasingly hampered due to resource limitations in post conflict settings such as Tigray. As a result, funders are turning to new strategies to maintain cost containment while delivering high-quality evidence gathering. However, the cost effectiveness of integrated evidence generation in post conflict settings remains unclear.

Methods

To assess the mean cost, the cost of the integrated health survey was compared with the cost of unintegrated surveys. One sample t-test was used to analyze the data. The survey was integrated: 1) methodologically, a mixed cross-sectional design was used; 2) maternal and child health service indicators and COVID-19 vaccination included; 3) suspected cases of obstetric fistula and pelvic organ prolapses were linked to nearby health facilities; 4) data were collected from community and health workers; and 5) various stakeholders provided technical and financial resources. Six zones of the regions were included to get a total of 13,819 households from nineteen districts. A single structured questionnaire with 222 items was used and the data were analysed using R software version 4.3.2.

Results

The integrated health survey achieved a significantly decreased cost in evidence generation, p-value < 0.05. The comparison of cost effectiveness between the integrated and unintegrated health surveys results a t-value of 3.1944 and a p-value of 0.0248, indicates a statistically significant difference in their cost effectiveness. The lower p-value suggests that the observed cost effectiveness from integrated surveys was significantly different from the unintegrated surveys, with a high likelihood that this difference was not due to random chance.

Conclusions

The integrated health survey was likely to reduce cost as opposed to the unintegrated approach. Under resource constraints, doing an integrated survey with high quality would be a cost-effective strategy.

Downloads

Published

01-01-2024

How to Cite

1.
Does integration of health survey bring cost effectiveness into evidence generation in post conflict settings of Tigray, Ethiopia?. East Afr J Health Sci. [Internet]. 2024 Jan. 1 [cited 2025 Feb. 6];6(1):798-80. Available from: https://journal.mu.edu.et/index.php/eajhs/article/view/549