Browsing by Person "Normand, Charles"

Now showing 1 - 3 of 3

Early Years Centres for pre-school children with primary language difficulties: what do they cost, and are they cost-effective?
(Taylor & Francis (Informa Healthcare), 2006-01) Law, James; Dockrell, J. E.; Castelnuovo, E.; Williams, K.; Seeff, B.; Normand, Charles
Background: High levels of early language difficulties raise practical issues about the efficient and effective means of meeting children’s needs. Persistent language difficulties place significant financial pressures on health and education services. This has led to large investment in intervention in the early years; yet, little is known about the actual and relative costs of early years provision. Aims: To profile the different costs incurred by two Early Years Centres (EYCs) partially funded by the charity I CAN and children receiving what might be termed ‘routine’ NHS speech therapy to provide an analysis of cost efficiency and equity. Methods & Procedures: Costings for service provision for 91 children (mean age 2;9) were collected. The activity of staff at each site and the cost of staff allocated to services were computed. Data on other resources were also collected. Outcomes & Results: The cost per child per session was on average £12. Despite the longer course of intervention in the first centre (10 compared with 6 weeks), the cost of the course per child was of the same order (£245 compared with £253). The annual cost of the early years provision per child was higher relative to the costs of the NHS provision, £645 compared with £181 in one EYC (A) and £462 compared with £173 in the other (B). When the cost of standard nursery provision was factored in, the difference in annual costs was rather less, with £5298 for the early years provision (EYC A) relative to £4276 in the comparison group. By contrast, the annual cost of early provision rises to £5926 relative to £8861 in the comparison group (EYC B).
Health economics : an international perspective
(Taylor & Francis(Routledge), 2007) McPake, Barbara; Normand, Charles
Beginning with a look into simple models of supply and demand within health care, this key text moves on to techniques of cost-benefit analysis, and then compares differing health care systems around the world. Featuring an array of case studies based on systems from around the world, the book successfully bridges the divide between the insurance-based system employed in the United States, the publicly funded options more common in Europe and Canada, and the mixed arrangements characteristic of most developing countries. This informative textbook, essential for students on the ever-growing number of health economics courses internationally, will also be useful in other areas, such as public health studies, medicine and health science.
Healthcare-seeking Behaviour among the Tribal People of Bangladesh: Can the Current Health System Really Meet Their Needs?
(2012-09) Rahman, Syed Azizur; Kielmann, Tara; McPake, Barbara; Normand, Charles
Despite the wealth of studies on health and healthcare-seeking behaviour among the Bengali population in Bangladesh, relatively few studies have focused specifically on the tribal groups in the country. This study aimed at exploring the context, reasons, and choices in patterns of healthcare-seeking behaviour of the hill tribal population of Bangladesh to present the obstacles and challenges faced in accessing healthcare provision in the tribal areas. Participatory tools and techniques, including focus-group discussions, in-depth interviews, and participant-observations, were used involving 218 men, women, adolescent boys, and girls belonging to nine different tribal communities in six districts. Data were transcribed and analyzed using the narrative analysis approach. The following four main findings emerged from the study, suggesting that the tribal communities may differ from the predominant Bengali population in their health needs and priorities: (a) Traditional healers are still very popular among the tribal population in Bangladesh; (b) Perceptions of the quality and manner of treatment and communication can override costs when it comes to provider-preference; (c) Gender and age play a role in making decisions in households in relation to health matters and treatment-seeking; and (d) Distinct differences exist among the tribal people concerning their knowledge on health, awareness, and treatment-seeking behaviour. The findings challenge the present service-delivery system that has largely been based on the needs and priorities of the plainland population. The present system needs to be reviewed carefully to include a broader approach that takes the sociocultural factors into account, if meaningful improvements are to be made in the health of the tribal people of Bangladesh.