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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 sahmed@icddrb.org
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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

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