우간다 동부 부탈레자 주 모자보건 증진 사업의 비용편익분석

Abstract

Purpose: The purpose of this study is to conduct a cost-benefit analysis of a Uganda Butaleja Maternal Newborn and Child Health Project which has been implemented by a Korean NGO from 2015 to 2018. Originality: Economic evaluation has been acknowledged as a crucial method for gauging the effectiveness of international development cooperation projects in the health sector, but it is being carried out on a limited basis due to limitations in financial and human capabilities. It is significant that the economic evaluation was conducted to complement the limitations of existing cost-benefit analysis studies. In particular, it is meaningful in that it confirmed the economic feasibility of integrated maternal and child health projects that combine hardware and software, including capacity building, awareness improvement, and behavioral change. Methodology: This study employs cost-benefit analysis and evaluates the economics of the targeted project through (i) Net Present Value (NPV), (ii) Cost-Benefit Ratio (BCR), and (iii) Economic Internal Rate of Return (EIRR). Additionally, sensitivity analysis has been conducted to mitigate potential errors in the assessment process. Result: The cost-benefit analysis yields a NPV of $83,909,933, an EIRR of 71%, and a BCR of 21. The project is deemed cost-effective, as the net present value exceeds 0, the EIRR surpasses the social discount rate, and the BCR is greater than 1. Conclusion and Implication: The results of this study confirmed that integrated maternal and child health ODA projects that combine hardware and software are economically effective, even when long-term maintenance costs are included.