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The Reproductive Health Cost Reporting System: An Introduction


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Presented for an April 2018 webinar

Published in: Health & Medicine
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The Reproductive Health Cost Reporting System: An Introduction

  1. 1. The Reproductive Health Cost Reporting System An Introduction Scott Moreland, PhD Shaylen Foley, MPH MEASURE Evaluation Palladium April 16, 2018
  2. 2. • Organizations frequently collect service delivery counts and track expenditures on human resources and labor, medical supplies and procurement, and other regularly incurred office and equipment expenses. • Yet, these data are rarely assessed together, let alone annually. • The RHCRS allows organizations to use these records to calculate the average cost of their services. • These unit costs can be compared across sites and regions of the organization and broken down by various cost elements. • Annual data enable programs to assess trends in service costs. Reports and graphics are available to illustrate and summarize these comparisons. Background
  3. 3. Cost study • One-off study • Methods and cost elements depend on particular study or context • Comparability can be challenging Cost system • Collects cost data routinely • Treats cost data as M&E data • Integrates into existing reporting systems Cost system vs. Cost Study
  4. 4. The RHCRS is an online data system for recording and analyzing cost information across health sites. Using Excel templates, data at headquarters, regional offices, and individual service delivery points can be uploaded an online database, allowing for exportable reports and analytics. • Records retrospective data (reflects actual expenses) • Produces cost-per-service figures and cost trends over time • Provides version control Reproductive Health Cost Reporting System (RHCRS) What is the RHCRS?
  5. 5. Development of the RHCRS Initial tool development and pilot test • Collaborated with the Family Guidance Association of Ethiopia (FGAE) to test data collection tools and conduct a time and labor study Tool modification and dashboard development • Analysis of FGAE data and incorporation into a web-based dashboard displaying result outputs Upcoming: pilot in country two + finalization
  6. 6. How do you use the RHCRS? 1. Complete a web-based configuration process 2. Download customized data capture forms 3. Prepare and enter data into the capture tools • TheRHCRS uses 4different templates to recordcosts: SDP costs, area office costs, head office costs, and time and labor 4. Upload the capture tools to the web-based system and check uploaded data 5. Explore the dashboard summarizing cost data with tables and visualizations • Choose from 5different standard reports • Generate graphs orExport data to Excel
  7. 7. What data are needed to use the RHCRS? Category Data Needed Labor • Average salaries by staff type (e.g., average nurse’s salary) • Number of staff by staff type • Sample staff time spent on specific services Capital • Costs of equipment, furniture, electronics/computers, vehicles • Building/land purchases (if applicable) Commodity • Quantity and cost per item of medical supplies (e.g. tests, • Identify commodities that directly link to a specific service Recurring • Building and vehicle rent • Internet, utilities, and telephone bills • Office supplies and printing costs • Gas and other transport Training • On-site trainings and external professional development Overhead • Overhead allocation is based on the organization’s existing overhead determinations Services • Number of services delivered for a specified list of services • Assigning services to a service type category
  8. 8. • Cost per service in each facility or geographic region Separateoutcostsatdifferentfacilities toidentifyinefficiencies andunderstandsite- specific costdrivers. • Cost breakdown for each service at each facility Eachservice’s costisautomaticallybrokenintoLabor,Capital,Commodity,Recurring Costs,Training,andOverhead. • Time series data to identify cost trends UsetheRHCRStostoredataovertimetocompareperformanceofmultipleyearsand trackaprogramasitscales. • Interactive graphs and charts to visualize cost breakdowns Instantlygeneratevisualswithscrollable valuesdisplayed.Imagescanbeexportedas PNGfiles. What analysis can the RHCRS provide?
  9. 9. What questions does the RHCRS address?
  10. 10. Who should use RHCRS? • Service delivery organizations with multiple service points and/or regional distribution • Organizations provide reproductive health and family planning services • HIV, primary care, and other services are also an option as system configuration allows for flexibility • Organizations that already track routine financial data, procurement or commodity costs, and service delivery counts • Results quality relies on the quality of data available Is it a good fit?
  11. 11. Data Capture Tools Capital Cost Example
  12. 12. Time and Labor Capture Tool
  13. 13. RHCRS Dashboard Sample Graph
  14. 14. Live Demonstration
  15. 15. Questions Please use the Q&A chat box to submit questions.
  16. 16. This presentation was produced with the support of the United States Agency for International Development (USAID) under the terms of MEASURE Evaluation cooperative agreement AID-OAA-L-14-00004. MEASURE Evaluation is implemented by the Carolina Population Center, University of North Carolina at Chapel Hill in partnership with ICF International; John Snow, Inc.; Management Sciences for Health; Palladium; and Tulane University. Views expressed are not necessarily those of USAID or the United States government.