Helping Babies Breathe (HBB) has become the gold standard globally for training birth-attendants in neonatal resuscitation in low-resource settings in efforts to reduce early newborn asphyxia and mortality. The purpose of this study was to do a first-ever activity-based cost-analysis of at-scale HBB program implementation and initial follow-up in a large region of Tanzania and evaluate costs of national scale-up as one component of a multi-method external evaluation of the implementation of HBB at scale in Tanzania.We used activity-based costing to examine budget expense data during the two-month implementation and follow-up of HBB in one of the target regions. Activity-cost centers included administrative, initial training (including resuscitation equipment), and follow-up training expenses. Sensitivity analysis was utilized to project cost scenarios incurred to achieve countrywide expansion of the program across all mainland regions of Tanzania and to model costs of program maintenance over one and five years following initiation.Total costs for the Mbeya Region were $202,240, with the highest proportion due to initial training and equipment (45.2

作者：Sumona, Chaudhury；Lauren, Arlington；Shelby, Brenan；Allan Kaijunga, Kairuki；Amunga Robson, Meda；Kahabi G, Isangula；Victor, Mponzi；Dunstan, Bishanga；Erica, Thomas；Georgina, Msemo；Mary, Azayo；Alice, Molinier；Brett D, Nelson

来源：BMC health services research 2016 年 16卷 1期