Costs and Budget Impact of Scaling‐Up Parenting for Lifelong Health for Young Children Program in Thailand.
Background: Violence against children poses short‐ and long‐term risks to health, society and economy. The Parenting for Lifelong Health for Young Children (PLH‐YC) programme has been shown to be effective in reducing child maltreatment for 2‐ to 9‐year‐old children in Thailand. We assessed the cost...
| Publicado en: | Child: Care, Health & Development Vol. 52; no. 1; pp. 1 - 12 |
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| Autores principales: | , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Wiley-Blackwell
Jan2026
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=191105938&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 191105938 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 03051862 6NX jtl: Child: Care, Health & Development issn: 03051862 maglogo: Y pubinfo: dt: Jan2026 vid: 52 iid: 1 pid: 480 pub: Wiley-Blackwell place: Malden, Massachusetts artinfo: ui: 191105938 191105938 191105938 10.1111/cch.70216 191105938 ppf: 1 ppct: 11 formats: tig: atl: Costs and Budget Impact of Scaling‐Up Parenting for Lifelong Health for Young Children Program in Thailand. aug: au: Mon, Hsu Myat Pongpaew, Wilaiwan Witvorapong, Nopphol McCoy, Amalee Hanvoravongchai, Piya affil: Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand sug: subj: Costs and Cost Analysis Budgets Parenting Education Child Health Health Status In Infancy and Childhood Program Evaluation Thailand Child Abuse Economics Child Abuse Risk Factors Child Abuse Prevention and Control Risk Assessment Human Funding Source Child, Preschool Child Thailand Multimethod Studies Cost Effectiveness Analysis Pilot Studies Caregivers Financial Support Violence Health Promotion Health Expenditures Diffusion of Innovation Implementation Science Social Problems Economics Descriptive Statistics Comparative Studies Seminars and Workshops Semi-Structured Interview Attitude of Health Personnel Health Care Delivery Child Abuse Epidemiology Questionnaires Child, Preschool: 2-5 years Child: 6-12 years ab: Background: Violence against children poses short‐ and long‐term risks to health, society and economy. The Parenting for Lifelong Health for Young Children (PLH‐YC) programme has been shown to be effective in reducing child maltreatment for 2‐ to 9‐year‐old children in Thailand. We assessed the costs and budget requirements across multiple scenarios for scaling up the PLH‐YC programme in Thailand. Methods: Five scaling‐up scenarios at varying levels were identified through a consultative workshop and semistructured interviews, with implementation planned via existing infrastructures. A bottom‐up costing approach was employed to estimate the cost and budget impact using data collected through document review, website search and interviews. Costing was performed using the provider's and societal perspectives. Results: The cost per caregiver based on the societal perspective ranged from 262 to 300 USD (1 USD = 35.36 THB in 2024). From the provider's perspective, the cost per caregiver trained was estimated at 82–195 USD. Assuming nationwide programme implementation, the estimated total budget impact for 1 year ranged from 50 to 76 million USD. Conclusions: Scaling‐up PLH‐YC incurs different unit costs per caregiver depending on the levels of programme delivery. However, budget requirements for all scenarios can be prohibitively high. To increase financial feasibility, programme modifications while maintaining quality, such as fewer parenting sessions or hybrid implementation, should be explored. Strong political commitment and financial support by key stakeholders are necessary for programme adoption and scaling up. Summary: Thailand's Parenting for Lifelong Health for Young Children (PLH‐YC) programme have been shown to be effective in reducing child maltreatment among children ages 2–9.In our research, five potential scaling‐up scenarios were designed at varying levels of implementation within Thailand, by collaborating with the existing systems.The unit cost of five scaling‐up scenarios is comparable to other parenting programmes with cost per caregiver approximated between $262–300 (societal perspective) and between $82‐$195 (provider perspective).The estimated budget impact for nationwide delivery could be seen as prohibitively high, ranging from $50 million to $76 million.Strong political commitment and financial support by key stakeholders are required for programme adoption and scaling up. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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