Economic evaluation shows cost-effectiveness of integrated community-based practitioner programmes in underserved rural populations, highlighting their value in expanding essential health services.
Community-based approaches are likely to be cost-effective for delivery of some essential health interventions where community-based practitioners operate within an integrated team supported by the health system. Community-based practitioners may be most appropriate in rural poor communities that have limited access to more qualified health professionals. Further research is required to understand which programmatic design features are critical to effectiveness.
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McPake et al. (2015) studied this question.
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