Parenting for lifelong health programme for parents and teens in Botswana: cost estimation and the budget impact analysis

dc.contributor.advisorSinanovic, Edina
dc.contributor.authorNtuli, Musa
dc.date.accessioned2025-09-19T12:37:10Z
dc.date.available2025-09-19T12:37:10Z
dc.date.issued2025
dc.date.updated2025-09-19T07:23:26Z
dc.description.abstractBackground: Given all its detrimental effects, child abuse is one of the biggest public health issues. Depression, suicidal thoughts, risky sexual behaviour, and substance abuse are a few examples of these effects. The random control trial was conducted in 25 nations with low to middle incomes, including Botswana. The goal of the PLH SUPER study is to address and stop child abuse in environments with limited resources. The overall and unit costs of the PLH program and the BIA, should it expand to national levels, were estimated by this PLH SUPER sub-study. Methodology: Micro-cost analysis was performed from April 2021 until March 2022, taking the provider perspective to make a computation on the total and unit costs of enrolling families in the PLH program. The target population of the teenagers of age 10–17 and their guardians were the aimed group in Botswana, and the BIA was subsequently determined through the unit cost per family enrolled. Results: The results exposed variation in every PLH program implementation cost across centres, from US $22,771.96 in Goodhope, to US $60,662.82 in Gaborone. The unit cost per enrolled family ranged from US $168.68 in Goodhope, to US $336.91 Letlhakane. Personnel costs accounted for 64% of total expenditure. The PLH enrolment coverage projected at 5.7% and 40,525 families identified as the programs target population for national scale-up. The cost per family enrolled in the PLH program ranged from US $168.68 to US $336.91, per family. Therefore, the total budget needed for expanding the PLH program varies from US $6,835,788.61 to US $13,653,186.67 Conclusion: This study investigated the cost implication of nationally scaling-up PLH interventions in Botswana. The findings of this study present the decision makers with guidance on the possible costs that could be incurred in scaling-up the PLH interventions countrywide. Furthermore, the study also guides policy makers on how the national scale-up could impact the existing health and wealth budget. This study immensely contributes on the global discourse on prevention of maltreatment. Lastly, Cost Effectives Analysis study for rolling out PLH interventions in Botswana is highly recommended.
dc.identifier.apacitationNtuli, M. (2025). <i>Parenting for lifelong health programme for parents and teens in Botswana: cost estimation and the budget impact analysis</i>. (). University of Cape Town ,Faculty of Health Sciences ,Health Economics Unit. Retrieved from http://hdl.handle.net/11427/41899en_ZA
dc.identifier.chicagocitationNtuli, Musa. <i>"Parenting for lifelong health programme for parents and teens in Botswana: cost estimation and the budget impact analysis."</i> ., University of Cape Town ,Faculty of Health Sciences ,Health Economics Unit, 2025. http://hdl.handle.net/11427/41899en_ZA
dc.identifier.citationNtuli, M. 2025. Parenting for lifelong health programme for parents and teens in Botswana: cost estimation and the budget impact analysis. . University of Cape Town ,Faculty of Health Sciences ,Health Economics Unit. http://hdl.handle.net/11427/41899en_ZA
dc.identifier.ris TY - Thesis / Dissertation AU - Ntuli, Musa AB - Background: Given all its detrimental effects, child abuse is one of the biggest public health issues. Depression, suicidal thoughts, risky sexual behaviour, and substance abuse are a few examples of these effects. The random control trial was conducted in 25 nations with low to middle incomes, including Botswana. The goal of the PLH SUPER study is to address and stop child abuse in environments with limited resources. The overall and unit costs of the PLH program and the BIA, should it expand to national levels, were estimated by this PLH SUPER sub-study. Methodology: Micro-cost analysis was performed from April 2021 until March 2022, taking the provider perspective to make a computation on the total and unit costs of enrolling families in the PLH program. The target population of the teenagers of age 10–17 and their guardians were the aimed group in Botswana, and the BIA was subsequently determined through the unit cost per family enrolled. Results: The results exposed variation in every PLH program implementation cost across centres, from US $22,771.96 in Goodhope, to US $60,662.82 in Gaborone. The unit cost per enrolled family ranged from US $168.68 in Goodhope, to US $336.91 Letlhakane. Personnel costs accounted for 64% of total expenditure. The PLH enrolment coverage projected at 5.7% and 40,525 families identified as the programs target population for national scale-up. The cost per family enrolled in the PLH program ranged from US $168.68 to US $336.91, per family. Therefore, the total budget needed for expanding the PLH program varies from US $6,835,788.61 to US $13,653,186.67 Conclusion: This study investigated the cost implication of nationally scaling-up PLH interventions in Botswana. The findings of this study present the decision makers with guidance on the possible costs that could be incurred in scaling-up the PLH interventions countrywide. Furthermore, the study also guides policy makers on how the national scale-up could impact the existing health and wealth budget. This study immensely contributes on the global discourse on prevention of maltreatment. Lastly, Cost Effectives Analysis study for rolling out PLH interventions in Botswana is highly recommended. DA - 2025 DB - OpenUCT DP - University of Cape Town KW - Parenting KW - Maltreatment KW - Micro costing KW - Cost analysis KW - Budget impact analysis LK - https://open.uct.ac.za PB - University of Cape Town PY - 2025 T1 - Parenting for lifelong health programme for parents and teens in Botswana: cost estimation and the budget impact analysis TI - Parenting for lifelong health programme for parents and teens in Botswana: cost estimation and the budget impact analysis UR - http://hdl.handle.net/11427/41899 ER - en_ZA
dc.identifier.urihttp://hdl.handle.net/11427/41899
dc.identifier.vancouvercitationNtuli M. Parenting for lifelong health programme for parents and teens in Botswana: cost estimation and the budget impact analysis. []. University of Cape Town ,Faculty of Health Sciences ,Health Economics Unit, 2025 [cited yyyy month dd]. Available from: http://hdl.handle.net/11427/41899en_ZA
dc.language.isoen
dc.language.rfc3066eng
dc.publisher.departmentHealth Economics Unit
dc.publisher.facultyFaculty of Health Sciences
dc.publisher.institutionUniversity of Cape Town
dc.subjectParenting
dc.subjectMaltreatment
dc.subjectMicro costing
dc.subjectCost analysis
dc.subjectBudget impact analysis
dc.titleParenting for lifelong health programme for parents and teens in Botswana: cost estimation and the budget impact analysis
dc.typeThesis / Dissertation
dc.type.qualificationlevelMasters
dc.type.qualificationlevelMPH
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