Issues in costing cross cutting hss interventions in
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Issues in costing cross cutting hss interventions in






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    Issues in costing cross cutting hss interventions in Issues in costing cross cutting hss interventions in Presentation Transcript

    • Issues in costing cross cutting HSS interventions in GFATM proposals Afghanistan experience Najibullah Safi, MD, MSc. HPM
    • Health system building blocks
      • Health services
      • Health workforce
      • Health information system
      • Medical products, vaccines and technologies
      • Health financing
      • Leadership and governance
    • Areas covered under HSS
      • Globally * :
        • Human resources
        • Infrastructure and equipments
        • Communication
        • Training
        • Health product
        • Procurement
        • Monitoring and evaluation
        • Management
        • * Activities supported under GFATM R8
    • Areas covered under HSS cont.
      • Afghanistan:
        • Expansion of lab network (R8 &R10)
        • Training
          • Long term programs (community nursing program (R8 &R10), FETP (R8), female community health supervisor (R10 ))
          • Short term programs
        • Revision of HMIS (R8)
        • Technical support
        • Research
        • Salary support
    • Measuring unit costs
      • Unit cost:
        • Relationship between financial investments and outcomes
      • Required development of tools for standardized unit costing e.g.
        • Cost per person-year of ART (variations)
        • Cost per DOTS patient treated (variations)
        • Cost per LLIN distributed (is this practical?)
      • Routine unit costing is expected to:
        • Improve budgeting, planning, and target setting
        • Optimize resource allocation
      • Is this practical to calculate unit cost for HSS interventions?
    • Issues in costing, Afghanistan experience
      • Lack of local expertise
      • HSS cover wide range of services (make it difficult to use standardized procedures/tools for costing)
      • Unavailability of costed national strategies and standard procedures for costing
      • Difficult to properly link inputs (investment) with outcome/impact
      • Inadequate preparation for proposal writing/costing
      • Significant proportion of budget goes to salaries (less structured)
    • Issues in costing, Afghanistan experience cont.
      • Lack of required data for planning
        • Estimation of the required quantities/number
        • Geographical distribution (cost varies)
        • Estimation of the unit cost (e.g. FETP, BHC labs)
      • Too much assumptions
      • Duplication with the supported programs by other donors
      • Inflated budget