TABLE 4.

Annualized Costs for Capital Investments and Operations and Maintenance of WASH in Health Care Facilities in Thakurbaba Municipality, Nepal

	Health Post				Basic Health Center				All
	Neulapur	Bagnaha	Shivapur	Thakurdwara	Ranipur	Bankatti	Mohanpur	Thakurdwara	All
Annual outpatient visits, no.	17,016	8,004	3,558	7,992	2,315	3,937	5,104	2,525	50,451
Current annual expenditure, US$
Capital hardware^a	4341	3607	3723	1564	503	733	984	1170	16625
Capital software^a	0	0	0	117	0	0	0	117	234
Capital maintenance	1728	1498	2696	2018	845	1368	1516	1596	13265
Recurrent training	0	0	0	0	0	0	0	0	0
Consumables	1476	920	1616	1158	1048	670	808	922	8618
Personnel	0	0	0	0	747	0	0	0	747
Support	0	0	0	0	0	0	0	0	0
Additional annual investment needed to reach basic service, US$
Capital hardware^a	102	102	84	113	2470	274	1089	972	5206
Capital software^a	37	37	47	0	37	37	37	0	232
Capital maintenance	184	184	156	153	153	184	153	153	1320
Recurrent training	755	648	252	578	578	578	578	578	4545
Consumables	315	193	547	529	457	447	441	838	3767
Personnel	274	274	403	274	274	274	274	473	2520
Support	316	316	170	363	316	316	316	162	2275
Summary costs, US$
Total annual capital costs^b	4480	3746	3854	1794	3010	1044	2110	2259	22297
Total annual O&M costs^c	5047	4033	5841	4593	4417	3837	4086	4722	36576
Total annual cost for basic service	9527	7779	9695	6387	7427	4881	6196	6981	58873
Average cost per outpatient visit	0.56	0.97	2.72	0.80	3.21	1.24	1.21	2.76	1.68

Abbreviations: O&M, operations and maintenance; WASH, water, sanitation, hygiene, cleaning, and waste management.
↵a Capital hardware and capital software costs are annualized from the total upfront investment cost, using an interest rate of 0.08.
↵b Total annual capital costs include capital hardware and capital software.
↵c Total annual operations and maintenance costs include capital maintenance, recurrent training, consumables, personnel, and support.