Background
Methods
Description of the CDSS program
Study setting
Identification, valuation and calculation of cost
Cost category | Cost item and inclusion criteria |
---|---|
1. Capital cost | In this category we included the following; |
a. Laptop computers- used to operate the CDSS. | |
b. Furniture- table and chair for CDSS workstation. | |
c. Vehicle- for effective support supervision and monitoring (due to distance and terrain, purchase was cheaper as opposed to renting). | |
d. Facility- space and electricity for CDSS operation. | |
e. CDSS software – estimated market price. | |
2. Recurrent cost | In this category we included the following; |
a. Transport- running and maintenance cost of the vehicle, and bus, flight and taxi charges. | |
b. Personnel- time compensation for personnel including an estimation of health workers cost. | |
c. Training- all costs incurred during basic computer skills and CDSS specific skills training (training materials, allowances, transport, venue and refreshments). | |
d. Supplies- office supplies and consumables (stationery, printing, photocopying etc.). | |
e. Communication- mainly internet and telephone cost. |
Ethics
Results
Financial cost of CDSS intervention
Cost category and items | Installation cost (2009–12) | Operation cost (2012–13) | Total cost | Percentage of total cost |
---|---|---|---|---|
Recurrent cost
| ||||
Transport | 12243.02 | 6.6 | ||
Vehicle operation and maintenance
|
5743.30
|
5411.88
|
11155.19
| |
Travel
|
529.03
|
558.80
|
1087.83
| |
Personnel | 5767.73 | 12579.66 | 18347.39 | 9.9 |
Training | 38665.09 | 22777.60 | 61442.68 | 33.0 |
Other | 3,019.69 | 1.6 | ||
Supplies
|
1594.83
|
569.44
|
2164.27
| |
Communication
|
855.43
|
-
|
855.43
| |
Sub-total: recurrent cost
|
53155.40
|
41897.39
|
95052.79
|
51.1
|
Capital cost
| ||||
Vehicle | 22571.13 | - | 22571.13 | 12.1 |
Computers | 7865.84 | - | 7865.84 | 4.2 |
Furniture | - | 438.03 | 438.03 | 0.2 |
CDSS software | 60000.00 | - | 60000.00 | 32.3 |
Sub-total: capital cost
|
90436.96
|
438.03
|
90874.99
|
48.9
|
Total cost
|
143592.36
|
42335.42
|
185927.78
|
100
|
Percentage of total cost
|
77.2
|
22.8
|
100
|
Economic cost of CDSS intervention
Cost category and items | Installation cost (2009–12) | Operation cost (2012–13) | Total cost | Percentage of total cost |
---|---|---|---|---|
Recurrent Cost
| ||||
Transport | 12243.02 | 9.6 | ||
Vehicle operation and maintenance
|
5743.30
|
5411.88
|
11155.19
| |
Travel
|
529.03
|
558.80
|
1087.83
| |
Personnel | 5767.73 | 22045.65 | 27813.38 | 21.8 |
Training | 38665.09 | 22777.60 | 61442.68 | 48.2 |
Other | 3019.69 | 2.4 | ||
Supplies
|
1594.83
|
569.44
|
2164.27
| |
Communication
|
855.43
|
-
|
855.43
| |
Sub-total: recurrent cost
|
53155.40
|
51363.38
|
104518.78
|
82.0
|
Capital cost
| ||||
Vehicle | 2646.03 | 2646.03 | 5292.05 | 4.2 |
Computers | 1717.54 | 1717.54 | 3435.09 | 2.7 |
Furniture | - | 95.65 | 95.65 | 0.1 |
Facility (space and electricity) | - | 96.94 | 96.94 | 0.1 |
CDSS software | 7033.83 | 7033.83 | 14067.67 | 11.0 |
Sub-total: capital cost
|
11397.40
|
11589.98
|
22987.39
|
18.0
|
Total cost
|
64552.81
|
62953.36
|
127506.17
|
100
|
Percentage of total cost
|
50.6
|
49.4
|
100
|
Fixed costs, variable costs and average costs
Item | Total | Percentage |
---|---|---|
Fixed Cost (CDSS) |
117991.71
|
92.5
|
Variable Cost (CDSS) |
9514.46
|
7.5
|
Total Economic Cost (CDSS) |
127506.17
|
100.0
|
Total ANC contacts registered at study sites (1 year) |
2386.00
|
100.0
|
Total ANC contacts using CDSS (1 year) |
1665.00
|
70.0
|
Total childbirths registered at study sites (1 year) |
887.00
|
100.0
|
Total childbirths using CDSS (1 year) |
754.00
|
85.0
|
Total CDSS contacts (ANC plus childbirths using CDSS) |
2419.00
| |
Cost per CDSS contact (Total Economic Cost (CDSS)/Total CDSS contacts) |
52.71
|