Results of Costing Analysis in Bangladesh and Tanzania

PPIUD InitiativeNational Scale-Up ModelPPIUD InitiativeNational Scale-Up Model
Program design
    Number of facilitiesa636628
    Setup period, months4444
    Implementation period, months36362736
    Number of PPIUDs inserted8,03126,5077,44843,928
Costing analysis
    Estimated total costUS$539,285US$1,979,140US$1,869,507US$6,910,494
    Estimated cost of direct PPIUD service provisionbUS$1.71US$1.71US$2.05US$2.05
    Cost per facility per yearUS$27,986US$17,373US$130,697US$79,223
    Main cost driverFacility staffc
(58% total cost)
Facility staffc
(53% total cost)
(76% total cost)
(80% total cost)
    Estimated direct health care costs saved (Impact 2)US$802,368US$2,648,284US$1,348,744US$7,954,649
    Estimated total costs after including estimated health care costs saved (Impact 2)−US$263,083−US$669,144US$520,763−US$1,044,156
  • Abbreviation: PPIUD, postpartum intrauterine device.

  • a Note the facilities included in the national scale-up model include the facilities in the PPIUD initiative plus additional facilities at the equivalent level of the public health care system. For Tanzania, each hospital in the scale-up model is assumed to have 4–6 associated satellite facilities that are trained in postpartum family planning counseling and given IEC materials to distribute and that refer clients to the hospitals, as was done in the PPIUD initiative.

  • b Includes cost of initial insertion, follow-up visit, and eventual removal using weighted averages. Cost of counseling is included for Tanzania but not for Bangladesh (cost of counselors in Bangladesh is included in staff costs, not direct service costs). Government reimbursements paid in Bangladesh are not included here.

  • c Facility staff in Bangladesh include counselors and honorariums in the PPIUD initiative. Counselors only are included in the national scale-up model.